Individual
NEAL AMBRISH MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 W HARRISON ST STE 207, CHICAGO, IL 60612-3988
(312) 942-5861
Mailing address
1725 W HARRISON ST STE 207, CHICAGO, IL 60612-3988
(312) 942-5861
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036161443
IL
Other
Enumeration date
04/02/2015
Last updated
08/31/2022
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