Individual
DR. RAJEEV H MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 GLENWOOD AVE, JOLIET, IL 60435-5574
(815) 725-1191
(815) 725-2048
Mailing address
2201 GLENWOOD AVE, JOLIET, IL 60435-5574
(815) 725-1191
(815) 725-2048
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH4890
RR MEDICARE
IL
Enumeration date
11/23/2005
Last updated
11/07/2007
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