Individual
DR. KETKI MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5145 N CALIFORNIA AVE, SCH DEPT OF REHAB SERVICES, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 907-3032
Mailing address
5145 N CALIFORNIA AVE, SCH DEPT OF REHAB SERVICES, CHICAGO, IL 60625-3661
(773) 878-8200
(773) 907-3032
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-096575
IL
Other
Enumeration date
05/09/2006
Last updated
07/21/2022
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