Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 016.005690 | IL |
NPI | 1023350519 |
---|---|
Provider Name | Dr. Darshan Nagesh |
First Address | Oak Lawn, IL 60453-1836 |
Second Address | Oak Lawn, IL 60453-1836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2013 |
Last Update Date | 07/12/2021 |