1164286498 NPI number — MEHUL AMIN PHARMD

Table of content: MEHUL AMIN PHARMD (NPI 1164286498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164286498 NPI number — MEHUL AMIN PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMIN
Provider First Name:
MEHUL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
AMIN
Provider Other First Name:
MEHUL
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1164286498
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
47 S LOCUST ST, MANTENO, IL 60950
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANTENO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60950
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-973-8222
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
47 S LOCUST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANTENO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60950-1515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-468-0190
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  051306078 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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