Individual
DR. AMIT BAKULESH MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 WILEY ROAD, SUITE 153, SCHAUMBURG, IL 60173-4357
(847) 519-4701
(847) 519-4707
Mailing address
1365 WILEY ROAD, SUITE 153, SCHAUMBURG, IL 60173-4357
(847) 519-4701
(847) 519-4707
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036120218
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036120218
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
243341-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120218
—
IL
Enumeration date
02/10/2008
Last updated
12/14/2021
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