Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT204925 | PA |
N | 111NI0900X | Internist | MT204925 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036.149877 | IL |
NPI | 1124466453 |
---|---|
Provider Name | Dr. Natasha Mehta |
First Address | Burr Ridge, IL 60527-6686 |
Second Address | Chicago, IL 60637-1443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2013 |
Last Update Date | 01/07/2019 |