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Ankit Modi, PTA
NPI 1548794621 · on the registry since 2017
Practice
- Address
- 901 Florsheim Dr
Libertyville, IL 60048 - Phone
- (616) 796-4637
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-17
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