Mehta, Nilesh D
Mehta, Nilesh D is an individual health care provider with primary practice located at 202 S. Greenleaf Ave Suite E Cancer Treatment Centers Of America, Gurnee IL 60031. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Mehta, Nilesh D can be contacted via phone (800) 322-9183.Contact Information
Primary practice address
202 S. Greenleaf Ave Suite E Cancer Treatment Centers Of America
Gurnee IL 60031
Phone: (800) 322-9183
Fax: (847) 336-7566
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 036077916 | Illinois |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 036.077916 | Illinois |
Profile Details
NPI number | 1578502159 |
---|---|
LBN Legal business name | Mehta, Nilesh D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Feb 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578502159 | NPPES |
Illinois | MEDICAID | 036077916 |
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