Individual
DR. SHITAL TAPAN MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
275 E COURT ST, SUITE 102, KANKAKEE, IL 60901-3838
(815) 939-3544
(815) 939-3557
Mailing address
3195 WOODHAVEN DR, BOURBONNAIS, IL 60914-4902
(815) 935-1634
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036108277
IL
Other
Enumeration date
04/23/2007
Last updated
03/23/2021
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