Dr Philip Jade Desamour, MD is a
Student In An Organized Health Care Education/training Program physician based in Chicago, Illinois. Dr Philip Jade Desamour is licensed to practice in * (Not Available) (license number ) and his current practice location is 5841 S Maryland Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(773) 702-1000.
NPI number for Dr Philip Jade Desamour is 1285438275 and his current mailing address is 180 Harvester Dr Ste 110, Burr Ridge, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285438275.
Physician's Profile
| Full Name | Dr Philip Jade Desamour |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5841 S Maryland Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285438275
- Provider Enumeration Date: 04/01/2025
- Last Update Date: 06/02/2025
Medical Identifiers
Medical identifiers for Dr Philip Jade Desamour such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285438275 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 125.085193 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Philip Jade Desamour is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Philip Jade Desamour, MD
180 Harvester Dr Ste 110,
Burr Ridge, IL 60527-6686
Ph: (773) 702-1150 | Dr Philip Jade Desamour, MD
5841 S Maryland Ave,
Chicago, IL 60637-1443
Ph: (773) 702-1000 |
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