Individual
VISHAL M MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1400
(630) 584-1733
Mailing address
2525 KANEVILLE RD, GENEVA, IL 60134-2578
(630) 584-1400
(630) 584-1733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036113791
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
0361137911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036113791
MD
IL
Enumeration date
07/25/2006
Last updated
12/30/2021
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