Individual provider · Type 1 NPI
Vishwa Desai
Family Nurse Practitioner · Third Lake, IL
NPI number
1164318432
Active
Practice location
34344 N US Highway
Third Lake, IL 60030-4031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041424380 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209.032259 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1164318432
Vishwa Desai's National Provider Identifier is 1164318432, issued on Jun 14, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Third Lake, IL. The record was last updated on Jul 9, 2025.