MEDICARE: DR. PALAK AMIT DESAI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	036133116	IL
2	207R00000X	Internal Medicine Physician	036133116	IL
3	207RH0003X	Hematology & Oncology Physician	036133116	IL

General Provider Information

NPI Number	:	1386964781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PALAK AMIT DESAI M.D.

Provider Business Mailing Address
First Line	:	2216 W THOMAS ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622
Country	:	US
Telephone Number	:	312-770-2272
Fax Number	:

Provider Business Practice Location Address
First Line	:	2216 W THOMAS ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3778
Country	:	US
Telephone Number	:	312-770-2272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	10/15/2025

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