AMISHI S DESAI DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****07

ACTIVE

N

DO

AMISHI

S

DESAI

AMISHI S DESAI DO

05/15/2008

04/07/2023

07/31/2026

CHICAGO

IL

60607

COOK

PRACTITIONER

II III IV V

N

04/07/2023