Dr. Manish I Desai, D.O.
Internal Medicine in Cicero, IL. Individual provider (NPI-1).
NPI number1881699080
StatusActive
Last updated in NPPESJun 27, 2012
Details
- NPI
- 1881699080
- Entity type
- Individual (NPI-1)
- Name
- Dr. Manish I Desai
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2005
- Last updated
- Jun 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036105725 | IL | Yes |
Practice location
5909 W 35th StCicero, IL 60804-4163
Phone 708-652-2040 · Fax 708-652-0058
Mailing address
5909 W 35th StCicero, IL 60804-4163
Phone 708-652-2040 · Fax 708-652-0058
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