Individual
TEJAL R. MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2111
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-002793
IL STATE LIC
IL
Enumeration date
05/29/2007
Last updated
06/13/2016
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