Modinat Bokin

NPI 1962161471 · on the registry since 2021

Practice

Address: 300 E Mazon Ave
Dwight, IL 60420
Phone: (815) 584-1240
Organisation at this address: Arc At Dwight Llc
Arc At Dwight Llc
Heritage Manor Dwight, Llc
Heritage Manor - Dwight, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 225XP0019X
225XP0019X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-12-12

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