Organization
WELLCARE NEONATOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHOK KUMAR MEHTA M.D. (NEONATOLOGIST)
(630) 377-6541
Entity
Organization
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 377-6541
(630) 377-5168
Mailing address
PO BOX 360, SOUTH ELGIN, IL 60177-0360
(630) 377-6541
(630) 377-5168
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
06/25/2006
Last updated
08/22/2020
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