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General NPI Number Information
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NPI Number | 1235929654
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Entity Type | Individual
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Provider Name | SHREEYU DESAI NP
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Gender | Female
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 371 S MAIN PL
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City | CAROL STREAM
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State | IL
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Zip | 60188-2427
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Country | US
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Telephone | 630-682-1950
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Fax | 630-682-1960
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Provider Business Mailing Address
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Address Line | 180 MONTVALE LN
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-3049
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Country | US
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Telephone | 630-452-8056
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.032453
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License Number State | IL
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