Modieh, Lena

Modieh, Lena is an individual health care provider with primary practice located at 6701 159Th St , Tinley Park IL 60477. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Modieh, Lena can be contacted via phone (708) 429-3300.

Contact Information

Primary practice address
6701 159Th St Tinley Park IL 60477
Phone: (708) 429-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.017130 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 710094088A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.017130 Illinois

Profile Details

NPI number 1659878635
LBN Legal business name Modieh, Lena
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2018
Last updated Sep 24th, 2019 - about 6 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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