Individual
DR. SANDEEP D. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1160 PARK AVE W STE 5N, HIGHLAND PARK, IL 60035-2271
(847) 432-7222
Mailing address
210 S DESPLAINES ST, CHICAGO, IL 60661-5500
(312) 654-2720
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036112471
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112471
—
IL
Enumeration date
06/06/2006
Last updated
11/22/2024
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