Healthcare Provider Details

I. General information

NPI: 1538150941
Provider Name (Legal Business Name): FEMALE HEALTH SPECIALIST INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 01/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 W NORTH AVE SUITE 105
MELROSE PARK IL
60160-1634
US

IV. Provider business mailing address

PO BOX 82428
AUSTIN TX
78708-2428
US

V. Phone/Fax

Practice location:
  • Phone: 708-450-4540
  • Fax: 708-450-5760
Mailing address:
  • Phone: 512-583-0205
  • Fax: 512-583-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHIMA D MEHTA
Title or Position: OFFICER
Credential: MD
Phone: 708-450-4540