Modi, Andrew

Modi, Andrew is an individual health care provider with primary practice located at 95 W Grand Ave , Lake Villa IL 60046-8641. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Modi, Andrew can be contacted via phone (847) 356-2336.

Contact Information

Primary practice address
95 W Grand Ave Lake Villa IL 60046-8641
Phone: (847) 356-2336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019024927 Illinois

Profile Details

NPI number 1538353818
LBN Legal business name Modi, Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Nov 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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