Desai, Sujal
Desai, Sujal is an individual health care provider with primary practice located at 3021 N Sheffield Ave , Chicago IL 60657-4419. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Desai, Sujal can be contacted via phone (872) 843-0550.Contact Information
Primary practice address
3021 N Sheffield Ave
Chicago IL 60657-4419
Phone: (872) 843-0550
Fax: (872) 873-9070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036116885 | Illinois |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 20A9978 | California |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036116885 | Illinois |
Profile Details
NPI number | 1215036330 |
---|---|
LBN Legal business name | Desai, Sujal |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2006 |
Last updated | Mar 10th, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215036330 | NPPES |
Illinois | Other | 036116885 | STATE OF ILLINOIS LICENSE |
Illinois | Other | 20A9978 | STATE OF ILLINOIS LICENSE |
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