MEDICARE: DR. USHA A. MEHTA MD

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
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	036046244	IL

General Provider Information

NPI Number	:	1114280682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. USHA A. MEHTA MD

Provider Business Mailing Address
First Line	:	600 W CERMAK RD # 3D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2268
Country	:	US
Telephone Number	:	312-427-6000
Fax Number	:	312-427-6001

Provider Business Practice Location Address
First Line	:	600 W CERMAK RD # 3D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2268
Country	:	US
Telephone Number	:	312-427-6000
Fax Number	:	312-427-6001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2012
Last Update Date	:	12/15/2025

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