Healthcare Provider Details

I. General information

NPI: 1891177978
Provider Name (Legal Business Name): RIDHI MEHTA KRATZMEYER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 FLETCHER DR
ELGIN IL
60123-4703
US

IV. Provider business mailing address

36W128 SILVER GLEN CT
SAINT CHARLES IL
60175-6354
US

V. Phone/Fax

Practice location:
  • Phone: 847-741-3127
  • Fax: 224-220-9743
Mailing address:
  • Phone: 630-772-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number016.005778
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: