| Doctor Name: | DR. JAMES ROBERT DESALVIO |
| NPI Number: | 1063539674 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 036-094738 |
| Business Practice Address: | 810 W. Anthony Dr. Urbana, IL - 618027431 |
| Business Phone Number: | 2173833077 |
| Business Fax Number: | 2173833519 |
| Mailing Address: | 611 W. Park St., Bwpc URBANA |
| State: | IL |
| Postal Code: | 618012500 |
| Phone Number: | 2173836792 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 04/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083P0500X |
| License Number: | 036-094738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
| Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |