Search › Illinois › 207R00000X
Kunjam Modha, M.D
NPI 1790093680 · on the registry since 2010
Practice
- Address
- 1901 W. Harrison
Chicago, IL 60612 - Phone
- (312) 864-6000
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-14
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