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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578502159 NPPES
Illinois MEDICAID 036077916

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