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Contact Information

SONIA C MEHTA, MD
360 STATION DR
CRYSTAL LAKE, IL60014
 Phone: 815-338-6600
 Fax: 815-455-8044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SONIA C MEHTA · (Female)

NPI Number 1265459895
Status Active
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 10/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C50678
  • IL License # 036-089016
  • IL License # 036089016
  • WI License # 37485
  • IL Other 036089016 STATE LICENSE
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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