SONIA C MEHTA (NPI# 1265459895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265459895 |
| Entity Type | Individual |
| Full Name | SONIA C MEHTA |
| Credential | M.D. |
| Practice Address |
360 Station Dr Crystal Lake IL 60014 |
| Mailing Address |
360 Station Dr Crystal Lake IL 60014-7978 |
| Practice Telephone | 8153386600 |
| Practice Fax Number | 8154558044 |
| Mailing Telephone | 8153386600 |
| Mailing Fax Number | 8154558044 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | C50678 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 37485 | WI | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 036-089016 | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036089016 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036089016 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 W Central, Arlington Heights, IL 600056591 | 8474596100 | |
| 1925 Huntley Rd, West Dundee, IL 601189301 | 8153386600 | 8474265162 |
| 2507 N Richmond Rd, Mchenry, IL 600515407 | 8153386600 | 8153853255 |
| 10350 Haligus Rd, Huntley, IL 601429545 | 8153386600 | 8154558044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639532294 | Sonia Mehta | Pediatrics | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2016-03-31 |
| 1548666423 | Sonia Mehta | Speech-Language Pathologist | 1220 Whitney Ave, Unit 2r, Hamden, CT 06517-2876 | 2014-11-05 |
| 1902004401 | Sonia Mehta | Ophthalmology | 4060 Butler Pike, Suite 200, Plymouth Meeting, PA 19462-1560 | 2007-07-05 |
| 1760689210 | Sonia Deshmukh Mehta | Anesthesiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2007-06-28 |
| Street Address |
360 STATION DR |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003815770 | Sandra Jaeschke | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2005-07-15 |
| 1801351648 | Jennifer A Garrels | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2019-02-06 |
| 1285099622 | Juliana Gonzales-hannon | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014 | 2015-12-30 |
| 1487025615 | Tonya Renee Fisher | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014 | 2015-10-14 |
| 1174917595 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 360 Station Dr, Suite 250, Crystal Lake, IL 60014-7978 | 2015-03-24 |
| 1811305329 | Rachel K Ash | Nurse Practitioner | 360 Station Dr, Crystal Lake, IL 60014 | 2014-07-28 |
| 1518383264 | Susan J Bigham | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014 | 2014-03-05 |
| 1053753582 | Kathleen L Kretchmer | Registered Nurse | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2013-07-25 |
| 1124362306 | Children's Physician Group | Pediatrics | 360 Station Dr, Crystal Lake, IL 60014-7978 | 2012-11-12 |
| 1013261361 | Jenna T Winsko | Nurse Practitioner | 360 Station Dr, Suite 120, Crystal Lake, IL 60014-7978 | 2012-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942352547 | Gupta Medical Clinic Ltd | Internal Medicine | 284 Memorial Ct Ste B, Crystal Lake, IL 60014-6231 | 2007-01-17 |
| 1659471175 | Sanjeev Gupta | Internal Medicine | 284 Memorial Ct, Ste B, Crystal Lake, IL 60014-6231 | 2006-09-24 |
| 1609980754 | Syed S. Asghar M.d.p.c. | Internal Medicine | 80 N Virginia St, Suite A, Crystal Lake, IL 60014-4158 | 2006-08-18 |
| 1477566834 | George B. Gancayco | Internal Medicine | 781 Mchenry Ave, Crystal Lake, IL 60014-7444 | 2006-08-15 |
| 1013928712 | Raman I Popli | Internal Medicine | 145 S Virginia St Ste C, Crystal Lake, IL 60014-7226 | 2006-08-10 |
| 1609886860 | Oaklund Medical Group, Ltd | Internal Medicine | 5911 Northwest Hwy, 205, Crystal Lake, IL 60014-8065 | 2006-08-09 |
| 1518975796 | Mukesh Arora | Internal Medicine | 690 E Terra Cotta Ave, Suite D, Crystal Lake, IL 60014-3605 | 2006-08-04 |
| 1336112911 | William Arthur Stinson | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2006-02-13 |
| 1710950100 | Carol Anne Kotzan | Internal Medicine | 525 E Congress Parkway Suite 250, Crystal Lake, IL 60014-6258 | 2006-02-08 |
| 1558342923 | Marvin John Salzmann | Internal Medicine | 460 Coventry Ln, Crystal Lake, IL 60014-7561 | 2005-11-10 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on SONIA C MEHTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.