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NPI Code Detail

MEDICARE: MANSI NIKHIL MEHTA

MEDICARE: MANSI NIKHIL MEHTA
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
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker149029256IL

General Provider Information

NPI Number : 1073182184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANSI NIKHIL MEHTA
Provider Business Mailing Address
First Line : 1050 W GEORGE ST APT 309
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4374
Country : US
Telephone Number : 832-433-8342
Fax Number :
Provider Business Practice Location Address
First Line : 1800 RAVINIA PL
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-3761
Country : US
Telephone Number : 708-403-7570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2021
Last Update Date : 05/01/2025

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Directions to “ MANSI NIKHIL MEHTA ” Practice Location

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