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1811454606
ASHWINI VIVEK MODAK
HINSDALE, IL
NPI
1811454606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070-008975)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
ASHWINI VIVEK MODAK
600 W OGDEN AVE
HINSDALE, IL 60521-3158
Phone number: 630-325-9630
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Mailing Address
ASHWINI VIVEK MODAK
4507 W RIVERSIDE DR
PLAINFIELD, IL 60586-7537
Phone number: 815-575-4102
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