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Organization

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

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAKSHA N. MEHTA (M.D.)
(847) 695-5520
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036064973
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036064973
IL
Enumeration date
04/08/2008
Last updated
11/29/2011
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