Individual
NEIL J. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(093) 672-5654
Mailing address
221 NE GLEN OAK AVE, PEORIA, IL 61636-0001
(093) 672-5654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-146933
IL
Other
Enumeration date
04/06/2011
Last updated
04/09/2024
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