Healthcare Provider Details

I. General information

NPI: 1770422297
Provider Name (Legal Business Name): ALOKI ASHNI MEHTA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 S 1ST AVE STE 3100
MAYWOOD IL
60153-3328
US

IV. Provider business mailing address

2029 W HELEN DR
ROMEOVILLE IL
60446-5347
US

V. Phone/Fax

Practice location:
  • Phone: 708-327-9124
  • Fax:
Mailing address:
  • Phone: 815-997-9285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125.087487
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: