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NPI Code Detail

MEDICARE: YASMIN MEHTA MS

MEDICARE:   YASMIN  MEHTA  MS
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
1235Z00000XSpeech-Language Pathologist146.014872IL

General Provider Information

NPI Number : 1124679105
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMIN MEHTA MS
Provider Business Mailing Address
First Line : 5318 135TH ST
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8152 KATY LN
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-6112
Country : US
Telephone Number : 312-890-9838
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2019
Last Update Date : 09/22/2019

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Directions to “ YASMIN MEHTA MS” Practice Location

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