Vishwa Desai
Individual provider Active NPI Family Nurse Practitioner · Third Lake, IL
NPI 1164318432 · NPPES record last updated Jul 9, 2025
Key facts
- NPI
- 1164318432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.032259 (IL)
- Practice address
- 34344 N US Highway
Third Lake, IL 60030-4031 - Phone
- (866) 389-2727
- NPI assigned
- Jun 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Primary Care Illinois PLLC
Minuteclinic Diagnostic of Illinois PLLC
Practice addresses (Care Compare)
34344 N US Hwy 45
Third Lake, IL 60030-4031
Phone (866) 389-2727
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251022002151 | IL | Practitioner - Nurse Practitioner | 8921596966 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041424380 | IL | MD | Registered Nurse |
| 209.032259 | IL | MD | Family Nurse Practitioner |
Practice roles (3 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Video Virtual Care North, LLC | Family | Current |
Accepting new patients |
| Minuteclinic Diagnostic of Illinois PLLC | Family | Current |
Accepting new patients |
| Minuteclinic Primary Care Illinois PLLC | Family | Current |
Accepting new patients |
Locations
101 S Northwest Hwy
Barrington, IL 60010
Phone (847) 381-4105
1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839
20 E Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 459-3800
1305 Randall Rd
Crystal Lake, IL 60014
Phone (815) 261-1221
1539 Clavey Rd
Highland Park, IL 60035
Phone (847) 831-6691
520 N Western Ave
Lake Forest, IL 60045
Phone (847) 739-3111
2020 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4302
11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221
936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447
2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450
1801 W Golf Rd
Schaumburg, IL 60194
Phone (847) 885-1326
1855 W Irving Park Rd
Schaumburg, IL 60193
Phone (630) 893-5570
34344 N US Highway 45
Third Lake, IL 60030
Phone (847) 543-5440
1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041424380 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.032259 | IL | Yes |
Addresses
Primary practice location
34344 N US Highway
Third Lake, IL 60030-4031
Mailing address
34344 N US Highway
Third Lake, IL 60030-4031
Other providers in Third Lake, IL
- Sarah Busby
- Irene Carod
- Julie Crowe-McCarthy
- Dental on 45 Inc
- Dental on 45 Inc
- Highland Park CVS, L.L.C.
- Laurinia Hunter
- Laura Y Joya
- Nataliya Korniychuk
- Lake County Crisis Center for the Prevention and Treatment of Domestic
All providers in Third Lake, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.