REENA MODI

CHICAGO, IL
NPI1285176610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: IL  209014360)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  209014360)
Enumeration Date2016-11-16
Last Update Date2017-06-13
Business Address
-- REENA MODI NP-C
675 N SAINT CLAIR ST GALTER SUITE 20-100
CHICAGO, IL 60611-5975
Phone number: 312-695-0990
Mailing Address
-- REENA MODI NP-C
676 N SAINT CLAIR ST SUITE 850
CHICAGO, IL 60611-2927
Phone number: 312-695-0738