Desai, Payal

Desai, Payal is an individual health care provider with primary practice located at 1111 Superior St Suite 104, Melrose Park IL 60160-4138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Desai, Payal can be contacted via phone (708) 486-2700.

Contact Information

Primary practice address
1111 Superior St Suite 104 Melrose Park IL 60160-4138
Phone: (708) 486-2700
Fax: (800) 801-6284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003455 Illinois

Profile Details

NPI number 1326277476
LBN Legal business name Desai, Payal
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2009
Last updated Jul 10th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326277476 NPPES
Illinois Other 085003455 STATE LICENSE

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