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Individual

DR. DISHA MAHENDRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2160 S 1ST AVE, FAHEY BLDG ROOM 007, MAYWOOD, IL 60153-3328
(708) 216-5118
Mailing address
8993 PARKSIDE LN, SAINT JOHN, IN 46373-8748
(630) 664-9286

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036132932
IL
207R00000X
Internal Medicine Physician
2010019223
MO
208M00000X
Hospitalist Physician
Primary
01081389A
IN

Other

Enumeration date
06/29/2010
Last updated
02/19/2026
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