# DAKSHA N. MEHTA M.D.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205009487
- **Authorized official:** DAKSHA N. MEHTA (M.D.)
- **Authorized official phone:** (847) 695-5520

## Contact information

- **Practice address:** 901 CENTER ST STE 2002, ELGIN, IL 60120-2104
- **Practice address phone:** (847) 695-5520
- **Mailing address:** PO BOX 1247, ELGIN, IL 60121-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036064973 | IL | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 11/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036064973 | — | IL |