Individual
DR. VIKAS MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY, MAYWOOD, IL 60153-3328
(708) 327-2626
(708) 327-2620
Mailing address
2160 S 1ST AVE, LOYOLA UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY, MAYWOOD, IL 60153-3328
(708) 327-2626
(708) 327-2620
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036130349
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125056310
IL
Other
Enumeration date
02/22/2010
Last updated
12/22/2023
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