KANKAKEE VALLEY OB/GYNLLC NPI 1134212665

NPI Information

  • NPI: 1134212665
  • Provider Name: KANKAKEE VALLEY OB/GYN,LLC
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • Address: 375 N WALL STREET
    SUITE P630
    KANKAKEE, IL
    ZIP 60901
  • Phone: (815) 933-4510

Map and Directions

Get Directions

NPI Details

KANKAKEE VALLEY OB/GYN,LLC is a legal medicine in Kankakee, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. KANKAKEE VALLEY OB/GYN,LLC NPI is 1134212665. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

375 N WALL STREET
SUITE P630
KANKAKEE, IL
ZIP 60901
Phone: (815) 933-4510
Fax: (815) 933-4259

The provider's authorized official is Tapan Ashvin Mehta .
The authorized official title is Owner and has the following contact phone number (815) 933-4510.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineILLINOISNo
2173000000XLegal MedicineILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104628061OTHERBC/BS PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI