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General NPI Number Information
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NPI Number | 1891177978
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Entity Type | Individual
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Provider Name | RIDHI MEHTA KRATZMEYER DPM
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Gender | Female
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 750 FLETCHER DR
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City | ELGIN
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State | IL
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Zip | 60123-4703
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Country | US
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Telephone | 847-741-3127
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Fax | 224-220-9743
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Provider Business Mailing Address
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Address Line | 36W128 SILVER GLEN CT
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City | SAINT CHARLES
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State | IL
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Zip | 60175-6354
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Country | US
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Telephone | 630-772-7300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 016.005778
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License Number State | IL
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