Dr Shane S Mehta, DO | |
4061 W 95th St, Oak Lawn, IL 60453-2611 | |
(708) 229-0101 | |
(708) 229-0090 |
Full Name | Dr Shane S Mehta |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 4061 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376997924 | NPI | - | NPPES |
036150253 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036-150253 (Illinois) | Primary |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
Mailing Address | Practice Location Address |
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Dr Shane S Mehta, DO Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Dr Shane S Mehta, DO 4061 W 95th St, Oak Lawn, IL 60453-2611 Ph: (708) 229-0101 |
Harun Durudogan, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 708-229-0101 Fax: 708-229-0090 | |
Dr. David J Fralinger, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9555 S 52nd Ave, Oak Lawn, IL 60453 Phone: 708-684-5473 | |
Dr. Jose R. Perez-sanz, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6701 W 95th St, Suite 6581, Oak Lawn, IL 60453 Phone: 708-599-5000 Fax: 708-599-5000 | |
Emily Meredith Mayekar, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4220 W 95th St Ste 100, Oak Lawn, IL 60453 Phone: 708-226-3300 Fax: 708-226-3500 | |
Dr. Khaled Almansoori, MD, M.ED, MBBCH Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6701 W 95th St, Oak Lawn, IL 60453 Phone: 708-599-5000 Fax: 708-599-0801 | |
Dr. Glenn A. Reinhart, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9555 S 52nd Ave, Oak Lawn, IL 60453 Phone: 708-684-4261 |