Patel, Mallika Modak

Patel, Mallika Modak is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave Ste 1304 , Evanston IL 60201-1700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Patel, Mallika Modak can be contacted via phone (847) 570-2700.

Contact Information

Primary practice address
2650 Ridge Ave Ste 1304 Evanston IL 60201-1700
Phone: (847) 570-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 125.081303 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125.081303 Illinois

Profile Details

NPI number 1437524675
LBN Legal business name Patel, Mallika Modak
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2015
Last updated May 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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