NPI 1134212665
Kankakee Valley Ob/Gyn,llc
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
Legal Medicine
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.