Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 036046244 | IL |
NPI | 1114280682 |
---|---|
Provider Name | Dr. Usha A. Mehta |
First Address | Glenview, IL 60025-7635 |
Second Address | Glenview, IL 60025-7635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2012 |
Last Update Date | 28/02/2017 |