Search › Illinois › 1223G0001X
Andrew Modi, DDS
NPI 1538353818 · on the registry since 2007
Practice
- Address
- 95 W Grand Ave
Lake Villa, IL 60046 - Phone
- (847) 356-2336
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois