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

TaxonomyCodeLicense
Registered Nurse 163W00000X041424380 (IL)
Family Nurse Practitioner Primary 363LF0000X209.032259 (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.