Individual
MANOJ KUMAR MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1732 CENTRAL ST, EVANSTON, IL 60201-1508
(847) 256-1855
(866) 375-3001
Mailing address
1732 CENTRAL ST, EVANSTON, IL 60201-1508
(847) 256-1855
(866) 375-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036087435
IL
207RG0100X
Gastroenterology Physician
Primary
036087435
IL
Other
Enumeration date
08/23/2005
Last updated
04/10/2023
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