ASHWINI VIVEK MODAK

HINSDALE, IL
NPI1811454606
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070-008975)
Enumeration Date2019-02-27
Last Update Date2019-02-27
Business Address
ASHWINI VIVEK MODAK
600 W OGDEN AVE
HINSDALE, IL 60521-3158
Phone number: 630-325-9630
Mailing Address
ASHWINI VIVEK MODAK
4507 W RIVERSIDE DR
PLAINFIELD, IL 60586-7537
Phone number: 815-575-4102