Dr Ketki Modi, DO | |
5145 N California Ave, Sch Dept Of Rehab Services, Chicago, IL 60625-3661 | |
(773) 878-8200 | |
(773) 907-3032 |
Full Name | Dr Ketki Modi |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 32 Years |
Location | 5145 N California Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477502326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 036-096575 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Rehabilitation Care, Llc | 8628253259 | 18 |
Entity Name | Swedish Covenant Management Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
Entity Name | Northwest Neurology, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427094077 PECOS PAC ID: 8729069158 Enrollment ID: O20040601000222 |
Entity Name | Advanced Rehabilitation Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285942722 PECOS PAC ID: 8628253259 Enrollment ID: O20110426000464 |
Entity Name | Tullia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487407789 PECOS PAC ID: 2365985785 Enrollment ID: O20240613002626 |
Mailing Address | Practice Location Address |
---|---|
Dr Ketki Modi, DO 5145 N California Ave, Sch Dept Of Rehab Services, Chicago, IL 60625-3661 Ph: (773) 878-8200 | Dr Ketki Modi, DO 5145 N California Ave, Sch Dept Of Rehab Services, Chicago, IL 60625-3661 Ph: (773) 878-8200 |
Patrick Joseph Barrett, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 345 E Superior St, 16th Floor, Chicago, IL 60611 Phone: 312-238-2780 | |
Dr. Monica E Rho, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 355 E Erie St, Chicago, IL 60611 Phone: 312-238-1000 Fax: 312-238-7709 | |
Ms. Shivani Dua, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 885, Chicago, IL 60612 Phone: 312-942-2384 | |
Kara Eder, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 333 E Benton Pl Ste 108, Chicago, IL 60601 Phone: 312-929-3646 | |
Dr. Sonika Randev, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
Lauren E Splittgerber, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 355 E Erie St, Chicago, IL 60611 Phone: 312-238-1000 Fax: 312-238-7767 | |
Dr. Lena Mishack, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 |