MEDICARE: DR. MEHUL R VORA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	01068875A	IN
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	036127949	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740410968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEHUL R VORA MD

Provider Business Mailing Address
First Line	:	16632 SOUTH 107TH COURT
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-8890
Country	:	US
Telephone Number	:	708-460-7990
Fax Number	:	708-460-7917

Provider Business Practice Location Address
First Line	:	16632 SOUTH 107TH COURT
Second Line	:
City	:	ORLAND PARK
State	:	IL
Zip	:	60467-8890
Country	:	US
Telephone Number	:	708-460-7990
Fax Number	:	708-460-7917

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2009
Last Update Date	:	03/16/2026

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