Most Relevant Information
Provider Data
| NPI Number: | 1003505314 |
| Provider Name: | DHARA MEHTA |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041.497979 |
Most Important Dates
| Enumeration Date: | 05/03/2023 |
| Last Updated: | 05/03/2023 |
Provider Practice Location
845 S DAMEN AVE
CHICAGO
IL
606123727
Practice Location Phone/Fax
| Phone: | 3129967800 |
| Fax: |
Provider Mailing Location
845 S DAMEN AVE
CHICAGO
IL
606123727
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |