Mody, Ketan R
Mody, Ketan R is an individual health care provider with primary practice located at 760 Pasquinelli Dr Ste 304 , Westmont IL 60559-1290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Mody, Ketan R can be contacted via phone (630) 789-3764.Contact Information
Primary practice address
760 Pasquinelli Dr Ste 304
Westmont IL 60559-1290
Phone: (630) 789-3764
Fax: (630) 206-2490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 036119306 | Illinois |
Profile Details
| NPI number | 1659562585 |
|---|---|
| LBN Legal business name | Mody, Ketan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Jun 17th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659562585 | NPPES |
| Illinois | Other | IL2367001 | MEDICARE INDIVIDUAL PTAN |
Popular Providers
-
Russell, Wendy Kiah
3999 Austell Rd Suite 901 Wellstreet Urgent Care, Austell GA 30106 -
Badolato, Stephen K
6300 N Wickham Rd Ste 101 -108, Melbourne FL 32940-2028 -
Taylor, Ryan
303 E. Ogden Ave Second Flood, Westmont IL 60559 -
Cayce, Kenneth O
801 Ohiohealth Blvd Suite 200, Delaware OH 43035 -
Fayre, Gail B
25 Highland Ave , Newburyport MA 01950-3867 -
Elder, Kevin E
711 S Dale Mabry Hwy Ste 303 , Tampa FL 33609-4400 -
Weldy, David Lee
3333 Glendale Ave , Toledo OH 43614-2426 -
Desjardins, Matthew Todd
560 S Loop Rd , Edgewood KY 41017-3405