Whalio Doctors

NPI 1134212665

Kankakee Valley Ob/Gyn,llc

Organisation Legal Medicine Kankakee, IL

Practice location

Address
375 N Wall Street Suite P630, Kankakee, IL 60901
Phone
(815) 933-4510
Fax
(815) 933-4259

Authorised official

Name
Tapan Ashvin Mehta
Title
Owner
Phone
(815) 933-4510

Registered specialties (2)

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X
Legal Medicine
Other Service Providers Taxonomy 173000000X

Registry record

NPI
1134212665
Entity type
Organization
NPI issued
2 Oct 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.