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DR. PHILIP JADE DESAMOUR MD
NPI 1285438275
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 01, 2025PECOS Enrolled
5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Dr. Philip Jade Desamour Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP JADE DESAMOUR MD (NPI 1285438275) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285438275
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PHILIP JADE DESAMOURCredential: MD
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-1000
Sole ProprietorYes
Enumeration DateApril 1, 2025
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1285438275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.085193 (IL)
5841 S MARYLAND AVE, Chicago, IL 60637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip Jade Desamour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Desamour's NPI number?

The NPI number for Philip Desamour is 1285438275. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Philip Desamour located?

Philip Desamour practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-1000.

What is Philip Desamour's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Philip Desamour enrolled in Medicare?

Yes. Philip Desamour is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Desamour was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.