Individual
AMEE K MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
801 N CASS AVE STE 300, WESTMONT, IL 60559-1193
(630) 963-4570
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-153918
IL
207Q00000X
Family Medicine Physician
4301098734
MI
207Q00000X
Family Medicine Physician
A129344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036153918
—
IL
Enumeration date
06/29/2011
Last updated
08/16/2023
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