Individual
BHUPAT MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 REGENT DR, OAK BROOK, IL 60523-1745
(630) 325-6151
(708) 652-0058
Mailing address
67 REGENT DR, OAK BROOK, IL 60523-1745
(630) 325-6151
(708) 652-0058
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036055686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055686
—
IL
01
—
110047291
RR MEDICARE PIN
IL
01
—
131009
ADVOCATE HEALTH PARNERS PIN
IL
01
—
2221466
BLUE SHIELD
IL
01
—
2487312
AETNA
IL
Enumeration date
11/18/2005
Last updated
05/15/2025
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