Kankakee Valley Ob/gyn,llc

NPI #1134212665 in Kankakee, Illinois

Provider Information

NPI Number
1134212665
Entity Type
Organization
Organization Name
Kankakee Valley Ob/gyn,llc
Primary Specialty
Legal Medicine
Enumeration Date
Oct 2, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
375 N WALL STREET
Address 2
SUITE P630
ZIP Code
60901
Phone
(815) 933-4510

Authorized Official

Name
TAPAN ASHVIN MEHTA, M.D.
Title
OWNER
Phone
(815) 933-4510

Specialties & Taxonomy Codes

Specialty
Legal Medicine

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