person
Supal Mehta, MD
Student in an Organized Health Care Education/Training Program in Park Ridge, Illinois
NPI 1578142014

Supal Mehta is a Student in an Organized Health Care Education/Training Program based in Canton, IL. Supal Mehta practices in Park Ridge, IL and has the professional credentials of MD. The NPI Number for Supal Mehta is 1578142014 and holds a License No. (Illinois).

The current practice location address for Supal Mehta is 1775 Ballard Rd, Park Ridge, IL and can be reached out via phone at 847-318-6020.

Location: 1775 Ballard Rd, Park Ridge, IL, 48188-6716
person
Provider Profile Details
NPI Number
1578142014
Provider Name
Supal Mehta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1775 Ballard Rd, Park Ridge, IL, 48188-6716
Phone Number
847-318-6020
Fax Number
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1775 Ballard Rd
City
State
Zip
60068-1005
Phone Number
847-318-6020
Fax Number
person
Provider Business Mailing Address Details
Address
1775 Ballard Rd
City
State
Zip
60068-1005
Phone Number
847-318-6020
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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