Individual
SHILPA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
100 E 14TH ST, APT 1001, CHICAGO, IL 60605-3666
(847) 596-0356
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-128502
IL
207R00000X
Internal Medicine Physician
125053959
IL
Other
Enumeration date
08/26/2010
Last updated
04/27/2021
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