Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHIV DINESH DESAI, DO
Active Sole ProprietorDR. SHIV DINESH DESAI, DO is a Sports Medicine healthcare provider located in EVANSTON, Illinois. NPI 1790422053 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · EVANSTON, IL
Registration Details
- NPI Number
- 1790422053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2022 (4.1975334379509 yrs)
- Last Updated
- May 21, 2025
- Licenses
-
OT021596 (PA)036174305 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2650 RIDGE AVE STE 1304EVANSTON, IL, 602011700Browse IL providers · Browse ZIP 60201
- Phone
- 8478667846
- Fax
- 8476571893
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in EVANSTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RAJAT KUMAR JAIN | M.D. | 1902011943 |
| ALYSIA L GREEN | MD | 1013124296 |
| DOMINIQUE MAYA STEVENS | M.D. | 1346604725 |
| DR. ALVIN AU-YEUNG | DO, MPH | 1194344721 |
| LANDAN JAMES BANKS | MD | 1710568332 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.