| Dr Shital Tapan Mehta, MD | |
|
275 E Court St, Suite 102, Kankakee, IL 60901-3838 | |
| (815) 939-3544 | |
| (815) 939-3557 |
| Full Name | Dr Shital Tapan Mehta |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 275 E Court St, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205054608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036108277 (Illinois) | Primary |
| Entity Name | Tca Health Inc Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184757353 PECOS PAC ID: 5991696643 Enrollment ID: O20131028000031 |
| Entity Name | Presence Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356727127 PECOS PAC ID: 2860396769 Enrollment ID: O20150810001673 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shital Tapan Mehta, MD 3195 Woodhaven Dr, Bourbonnais, IL 60914-4902 Ph: (815) 935-1634 | Dr Shital Tapan Mehta, MD 275 E Court St, Suite 102, Kankakee, IL 60901-3838 Ph: (815) 939-3544 |
Bruce I Dodt, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St Ste 300, Kankakee, IL 60901 Phone: 815-935-0750 Fax: 815-935-8797 | |
Dr. Matthew J Niedzwiecki, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 281-836-4735 | |
Patricia L Roy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall Street, Suite 200, Kankakee, IL 60901 Phone: 815-937-1237 Fax: 815-933-0662 | |
Ashley Noel Joyles Clark, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Khalid Naveed Arshad, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 400 N Wall St Ste B402, Kankakee, IL 60901 Phone: 815-937-1237 Fax: 815-933-0662 | |
Dr. Kevin Chacko Varghese, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 Fax: 815-933-0662 |