| 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 |
| Experience | 2 Years |
| Location | 34344 N Us Highway, Third Lake, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Primary Care Illinois Pllc | 7416471842 | 102 |
| Minuteclinic Diagnostic Of Illinois Pllc | 8729171566 | 106 |
| Entity Name | Minuteclinic Diagnostic of Illinois PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
| Entity Name | Minuteclinic Video Virtual Care North, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518512227 PECOS PAC ID: 1254762297 Enrollment ID: O20200620000026 |
| Entity Name | Minuteclinic Primary Care Illinois PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528875564 PECOS PAC ID: 7416471842 Enrollment ID: O20250408000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Vishwa Desai, 34344 N Us Highway, Third Lake, IL 60030-4031 Ph: Not Available | Vishwa Desai, 34344 N Us Highway, Third Lake, IL 60030-4031 Ph: (866) 389-2727 |
Laurinia Hunter, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34344 N Us Highway 45, Third Lake, IL 60030 Phone: 847-543-5440 |