Individual
DR. ABHISHEK MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15300 WEST AVE, ORLAND PARK, IL 60462
(708) 226-2440
(708) 226-2441
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036119435
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119435
—
IL
Enumeration date
10/12/2007
Last updated
06/26/2018
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