MALLIKA MODAK PATEL

EVANSTON, IL
NPI1437524675
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.081303)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  125.081303)
Enumeration Date2015-12-13
Last Update Date2024-05-27
Business Address
MALLIKA MODAK PATEL
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201-1700
Phone number: 847-570-2700
Mailing Address
MALLIKA MODAK PATEL
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150