Kankakee Valley Ob/Gyn,Llc

LBN: Kankakee Valley Ob/Gyn,Llc
Kankakee Valley Ob/Gyn,Llc is an health care organization with primary practice located at 375 N Wall Street Suite P630, Kankakee IL 60901. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Kankakee Valley Ob/Gyn,Llc can be contacted via phone (815) 933-4510, or through Mehta, Tapan Ashvin via phone (815) 933-4510.

Contact Information

Primary practice address
375 N Wall Street Suite P630 Kankakee IL 60901
Phone: (815) 933-4510
Fax: (815) 933-4259
Website:
Map and Directions
Authorized official contact:
Name: Mehta, Tapan Ashvin Doctor of Medicine (MD)
Phone: (815) 933-4510

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X Illinois
Other Service Providers / Legal Medicine 173000000X Illinois

Profile Details

NPI number 1134212665
LBN Legal business name Kankakee Valley Ob/Gyn,Llc
DBA Doing business as
Authorized official Mehta, Tapan Ashvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134212665 NPPES
Other 04628061 BC/BS PROVIDER #

Popular Providers