Mehta, Mukundini S

Mehta, Mukundini S is an individual health care provider with primary practice located at 5909 W 35Th St , Cicero IL 60804-4163. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Mehta, Mukundini S can be contacted via phone (708) 652-2040.

Contact Information

Primary practice address
5909 W 35Th St Cicero IL 60804-4163
Phone: (708) 652-2040
Fax: (708) 652-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 36059220 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 363659220 Illinois

Profile Details

NPI number 1154303584
LBN Legal business name Mehta, Mukundini S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jan 11th, 2024 - about 2 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 1154303584 NPPES
Illinois Other 1411 CHICAGO HEALTH SERVICES (CHS) PIN
Illinois MEDICAID 036059220 CHICAGO HEALTH SERVICES (CHS) PIN
Illinois Other 160025319 CHICAGO HEALTH SERVICES (CHS) PIN
Illinois Other 31603182 CHICAGO HEALTH SERVICES (CHS) PIN

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