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General NPI Number Information
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NPI Number | 1295269397
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Entity Type | Individual
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Provider Name | ANAND R DESAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4309 W MEDICAL CENTER DR STE B202
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City | MCHENRY
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State | IL
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Zip | 60050-8417
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Country | US
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Telephone | 815-455-2752
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Fax | 815-455-2789
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Provider Business Mailing Address
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Address Line | 4309 W MEDICAL CENTER DR STE B202
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City | MCHENRY
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State | IL
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Zip | 60050-8417
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Country | US
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Telephone | 815-455-2752
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Fax | 815-455-2789
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA11379700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 036169141
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036.169141
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License Number State | IL
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