SHILPA MEHTA

BLOOMINGTON, IL
NPI1174616411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-110523)
Enumeration Date2006-10-01
Last Update Date2014-03-06
Business Address
SHILPA MEHTA
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-2100
Mailing Address
SHILPA MEHTA
1505 EASTLAND DR
BLOOMINGTON, IL 61701-3534
Phone number: 309-663-2100