Individual
HEMAL MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9301 GOLF RD, DES PLAINES, IL 60016-1667
(184) 739-1972
(773) 767-3944
Mailing address
9301 GOLF RD, DES PLAINES, IL 60016-1667
(184) 739-1972
(773) 767-3944
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070011869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635425
BC/BS PROVIDER #
IL
Enumeration date
02/13/2006
Last updated
03/26/2010
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