Individual ProviderNisha DesaiDermatologyAllopathic & Osteopathic PhysiciansPractice Address9933 Woods Dr Ste 200, Skokie, IL 60077-1049(847) 663-8060PECOS EnrollmentBased on the most recent information from CMS, provider Nisha Desai is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1285895003Provider TypeIndividualFull NameDesai, NishaCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date6/24/2008Last Updated3/3/2021Contact InformationPractice LocationPractice Address9933 Woods Dr Ste 200, Skokie, IL 60077-1049Phone(847) 663-8060FaxUnlisted FaxMailing LocationMailing Address9933 Woods Dr Ste 200, Skokie, IL 60077-1049Phone(847) 663-8060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207N00000XPrimaryDescriptionDermatologyAllopathic & Osteopathic PhysiciansLicense036133167Illinois