SUBODH C DESAI (NPI# 1487612420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487612420 |
| Entity Type | Individual |
| Full Name | SUBODH C DESAI |
| Credential | MD |
| Practice Address |
2137 Oak Park Ave Berwyn IL 60402-1718 |
| Practice Telephone | 7087494660 |
| Practice Fax Number | 7087494665 |
| Mailing Telephone | 7087494660 |
| Mailing Fax Number | 7087494665 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
2137 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790742195 | Subodh C Desai Md Sc | Family Medicine | 2137 Oak Park Ave, Berwyn, IL 60402-1718 | 2006-04-28 |
| 1063470029 | Mrudula Desai | Family Medicine | 2137 Oak Park Ave, Berwyn, IL 60402-1718 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174953210 | Humberto Guerra-garcia | Internal Medicine | 2055 White Horse Rd, Berwyn, PA 19312-2127 | 2013-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058378 | Ranim Mira | Internal Medicine | 4021 W Belle Plaine Ave # Ge, Chicago, IL 60641-2412 | 2018-03-24 |
| 1518351758 | Vania Leung | Internal Medicine | 2600 S Michigan Ave Ste 205, Chicago, IL 60616-2857 | 2015-03-25 |
| 1699174540 | Hatem Hassaballa | Internal Medicine | 840 S Wood St Fl 4, Suite 409 (m/c 717), Chicago, IL 60612-4325 | 2014-08-16 |
| 1528495470 | Home Care Doctors of Illinois Inc | Internal Medicine | 121 Fairfield Way Ste 312, Bloomingdale, IL 60108-1585 | 2013-10-08 |
| 1699059857 | We Care for Seniors Ltd | Internal Medicine | 501 Ashbury Ct, Lemont, IL 60439-8422 | 2011-10-06 |
| 1508181108 | Francina Miguelina Peralta Machado | Internal Medicine | 3046 127th St, Blue Island, IL 60406-1827 | 2010-04-07 |
| 1295976892 | Woodridgeclinic-lemont | Internal Medicine | 15884 W 127th St, Suite H, Lemont, IL 60439-7422 | 2009-03-12 |
| 1609037498 | Katya Yanira Cruz Madrid | Internal Medicine | 840 S. Wood St, Mic 717 Suite 409, Chicago, IL 60612 | 2008-06-24 |
| 1326209446 | Downers Grove Geriatrics, LLC | Internal Medicine | 3800 Highland Ave Ste 111, Downers Grove, IL 60515-1558 | 2008-06-20 |
| 1801060538 | Ronald James Grason | Internal Medicine | 357 W Decatur St, Decatur, IL 62522 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.