Individual
DR. SHEETAL MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2155 CITY GATE LN STE 225, NAPERVILLE, IL 60563-7770
(630) 547-5040
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036-114222
IL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036.114222
IL
207NS0135X
Procedural Dermatology Physician
036.11422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114222
—
IL
Enumeration date
04/23/2007
Last updated
08/16/2023
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