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General NPI Number Information
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NPI Number | 1063556991
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Entity Type | Individual
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Provider Name | BELA D DESAI MD
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 77 RAND RD
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City | DES PLAINES
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State | IL
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Zip | 60016-1005
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Country | US
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Telephone | 847-803-1344
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Fax | 847-803-3791
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Provider Business Mailing Address
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Address Line | P.O. BOX 1935
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City | DES PLAINES
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State | IL
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Zip | 60017-1935
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Country | US
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Telephone | 847-803-1344
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Fax | 847-803-3791
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 036100458
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036100458
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License Number State | IL
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