Individual
DR. GAURIKA MEHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 W DIVISION ST, CHICAGO, IL 60622-2853
(773) 772-7858
(773) 276-6668
Mailing address
PO BOX 3603, OAK BROOK, IL 60522-3603
(773) 772-7858
(773) 276-6668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036138594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-138594
—
IL
01
—
13882754
CAQH
IL
01
—
152712614
BCBS
IL
01
—
P01727255
RAILROAD MEDICARE
IL
01
—
QZZ000000136068
AETNA BETTER HEALTH
IL
Enumeration date
07/27/2012
Last updated
03/07/2023
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