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Maitri Mehta, DO
Student in an Organized Health Care Education/Training Program in Dixon, Illinois
NPI 1003490921

Maitri Mehta is a Student in an Organized Health Care Education/Training Program based in San Jose, IL. Maitri Mehta practices in Dixon, IL and has the professional credentials of DO. The NPI Number for Maitri Mehta is 1003490921 and holds a License No. 125-078487 (Illinois).

The current practice location address for Maitri Mehta is 102 S Hennepin Ave, Dixon, IL and can be reached out via phone at 815-285-8520 and via fax at 815-285-8903.

Location: 102 S Hennepin Ave, Dixon, IL, 95129-3017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003490921
Provider Name
Maitri Mehta
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
102 S Hennepin Ave, Dixon, IL, 95129-3017
Phone Number
815-285-8520
Fax Number
815-285-8903
Provider Enumeration Date
05/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 S Hennepin Ave
City
Dixon
State
Illinois
Zip
61021-3013
Phone Number
815-285-8520
Fax Number
815-285-8903
person
Provider Business Mailing Address Details
Address
102 S Hennepin Ave
City
Dixon
State
Illinois
Zip
61021-3013
Phone Number
815-285-8520
Fax Number
815-285-8903
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125-078487 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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