| Tejal R Modi, PA-C | |
|
2650 Ridge Ave, Evanston, IL 60201-1718 | |
| (847) 570-2111 | |
| Not Available |
| Full Name | Tejal R Modi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 2650 Ridge Ave, Evanston, 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 |
|---|---|---|---|
| 1639370794 | NPI | - | NPPES |
| 085-002793 | Other | IL | IL STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crystal Lake Immediate Care Physicians Ltd | 2961783139 | 17 |
| Mailing Address | Practice Location Address |
|---|---|
| Tejal R Modi, PA-C 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: () - | Tejal R Modi, PA-C 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-2111 |
Mrs. Etel Zeveleva, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 107 Clyde Ave, Evanston, IL 60202 Phone: 847-869-7389 | |
Alison Chevrier Bates, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Ms. Ariana Ruth Jones, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Alexis Carroll, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Wajdey Nesheiwat, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave., Dept. Of Surgery Walgreen 2507, Evanston, IL 60201 Phone: 847-570-2560 Fax: 847-570-2930 | |
Bomy Kim, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave Ste 1223, Evanston, IL 60201 Phone: 847-982-3171 | |
Sheri Lynn Tokarczyk, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Walgreen Building, Suite 2507, Evanston, IL 60201 Phone: 847-570-1171 Fax: 847-570-2930 |