Dr. Larry Wayne Desch
M.D. | Developmental - Behavioral Pediatrics | Male
Dr. Larry Wayne Desch, M.D. is a Oak Lawn, Illinois based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Dr. Larry Wayne Desch is
9555 S 52nd Ave, Oak Lawn, Illinois - 60453-3054. He can be contacted on phone at
847-318-9330 and fax number 708-876-1561.
Dr. Larry Wayne Desch is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Larry Wayne Desch is
1912016783 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 17 Dec, 2021.
Dr. Larry Wayne Desch license number is
036-093057 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Illinois.
Dr. Larry Wayne Desch is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Dr. Larry Wayne Desch basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Dr. Larry Wayne Desch |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Larry Wayne Desch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9555 S 52nd Ave
Oak Lawn, IL, 60453-3054
United States |
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| Phone Number : | 847-318-9330 |
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| Fax Number : | 708-876-1561 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912016783 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 17 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Larry Wayne Desch are as mentioned. Primary taxonomy code for Dr. Larry Wayne Desch, M.D. is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 036093057 | IL |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 036-093057 | IL |
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | No | 036093057 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Larry Wayne Desch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 14D0419824 | Other | IL | CLIA |
| 036093057 | Other | IL | STATE LICENSE |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | ldesch207828@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 9555 S 52ND AVE,
OAK LAWN, IL, 60453-3054
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTUR2/
| No affiliation |
|
| 9555 S 52ND AVE,
OAK LAWN, IL, 60453-3054
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9555 S 52nd Ave
Oak Lawn, IL, 60453-3054
United States |
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| Phone Number : | 847-318-9330 |
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| Fax Number : | 708-876-1561 |
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Business Location:
Patients can refer following map for directions to
Dr. Larry Wayne Desch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.