Provider Demographics
NPI:1962539759
Name:MEHTA, PARTHIV S (MD)
Entity type:Individual
Prefix:DR
First Name:PARTHIV
Middle Name:S
Last Name:MEHTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2245 ENTERPRISE DR
Mailing Address - Street 2:STE. 4506
Mailing Address - City:WESTCHESTER
Mailing Address - State:IL
Mailing Address - Zip Code:60154-5813
Mailing Address - Country:US
Mailing Address - Phone:708-492-0502
Mailing Address - Fax:708-492-0565
Practice Address - Street 1:2600 PATRIOT BLVD
Practice Address - Street 2:STE J
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8024
Practice Address - Country:US
Practice Address - Phone:224-260-3100
Practice Address - Fax:847-998-8112
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2019-07-12
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Provider Licenses
StateLicense IDTaxonomies
IL0361114772085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
212210044Medicare PIN