Vishwa Desai, | |
34344 N Us Highway, Third Lake, IL 60030-4031 | |
(866) 389-2727 | |
Not Available |
Full Name | Vishwa Desai |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 34344 N Us Highway, Third Lake, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164318432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041424380 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.032259 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Vishwa Desai, 34344 N Us Highway, Third Lake, IL 60030-4031 Ph: () - | Vishwa Desai, 34344 N Us Highway, Third Lake, IL 60030-4031 Ph: (866) 389-2727 |
Mrs. Melissa Thibault Mikota, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34344 N Us Highway 45, Third Lake, IL 60030 Phone: 847-543-5440 | |
Laurinia Hunter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34344 N Us Highway 45, Third Lake, IL 60030 Phone: 847-543-5440 |