Desai, Theresa Ann

Desai, Theresa Ann is an individual health care provider with primary practice located at 1051 W Rand Rd # 110 , Arlington Heights IL 60004-2315. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Desai, Theresa Ann can be contacted via phone (847) 618-9292.

Contact Information

Primary practice address
1051 W Rand Rd # 110 Arlington Heights IL 60004-2315
Fax: (847) 618-9294
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164-003294 Illinois

Profile Details

NPI number 1780806687
LBN Legal business name Desai, Theresa Ann
Credentials CDE
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Nov 17th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780806687 NPPES
Illinois Other 164-003294 IL STATE LIC

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