Desch, Larry Wayne

Desch, Larry Wayne is an individual health care provider with primary practice located at 9555 S 52Nd Ave , Oak Lawn IL 60453-3054. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Desch, Larry Wayne can be contacted via phone (847) 318-9330.

Contact Information

Primary practice address
9555 S 52Nd Ave Oak Lawn IL 60453-3054
Phone: (847) 318-9330
Fax: (708) 876-1561
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036093057 Illinois
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 036093057 Illinois
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 036-093057 Illinois

Profile Details

NPI number 1912016783
LBN Legal business name Desch, Larry Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 17th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912016783 NPPES
Illinois Other 036093057 STATE LICENSE
Illinois Other 14D0419824 STATE LICENSE

Popular Providers