SUBODH C DESAI MD SC
NPI 1790742195
Family Medicine - Adult Medicine in Berwyn, IL

Active since April 28, 2006
2137 OAK PARK AVE, BERWYN, IL 60402(708) 746-4660(708) 749-4665 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Subodh C Desai Md Sc NPPES

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

SUBODH C DESAI MD SC (NPI 1790742195) is a healthcare organization registered as an adult medicine in Berwyn, Illinois and active in the NPI registry since April 2006. The organization lists Alan Hester, Biller, as its authorized official.

NPPES Registry Identity

NPI1790742195
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSUBODH C DESAI MD SC
Location Address2137 OAK PARK AVEBerwyn, IL 60402-1718
Mailing Address2137 Oak Park AveBerwyn, IL 60402-1718 · (708) 746-4660 · Fax (708) 749-4665
Fax(708) 749-4665
Organization SubpartNo
Authorized OfficialAlan HesterBiller · (773) 827-7000
Enumeration DateApril 28, 2006
Last NPPES UpdateFebruary 26, 2010
NPI 1790742195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2137 OAK PARK AVE, Berwyn, IL 60402

Other Identifiers 1

Medicare ID-Type Unspecified207004IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Family Medicine
2137 OAK PARK AVE
BERWYN, IL 60402
Internal Medicine (Geriatric Medicine)
2137 OAK PARK AVE
BERWYN, IL 60402

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 Subodh C Desai MD Sc's NPI number?

The NPI number for Subodh C Desai MD Sc is 1790742195. It was assigned to this organization in the NPPES registry on April 28, 2006.

Where is Subodh C Desai MD Sc located?

Subodh C Desai MD Sc is located at 2137 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 746-4660.

What is Subodh C Desai MD Sc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Subodh C Desai MD Sc was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.