Individual
MIRA MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
(708) 684-0281
Mailing address
4220 W 95TH ST STE 200, OAK LAWN, IL 60453-3072
(708) 398-0287
(708) 684-0281
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.177296
IL
Other
Enumeration date
03/09/2022
Last updated
11/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us