| Krishna Dipak Modi, DO | |
|
630 E North Ave, Carol Stream, IL 60188-2127 | |
| (630) 458-5300 | |
| Not Available |
| Full Name | Krishna Dipak Modi |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 630 E North Ave, Carol Stream, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982223558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036163060 (Illinois) | Primary |
| Entity Name | Adventist Health Partners, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932650496 PECOS PAC ID: 0244135762 Enrollment ID: O20040127000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishna Dipak Modi, DO 630 E North Ave, Carol Stream, IL 60188-2127 Ph: (630) 458-5300 | Krishna Dipak Modi, DO 630 E North Ave, Carol Stream, IL 60188-2127 Ph: (630) 458-5300 |
Dr. John Blaise Pace, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 560 Belmont Ln, Carol Stream, IL 60188 Phone: 630-665-6500 Fax: 630-665-1411 | |
Frank C Chao, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 630 E North Ave, Dept Of Family Practice, Carol Stream, IL 60188 Phone: 630-458-5300 | |
Dr. Patrick F Bednar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 517 Thornhill Dr, Carol Stream, IL 60188 Phone: 630-668-3210 Fax: 630-668-3505 | |
Guido Grasso-knight, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 E North Ave, Carol Stream, IL 60188 Phone: 630-458-5300 | |
Pratima Shah, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 839 Burning Trl, Carol Stream, IL 60188 Phone: 630-293-7737 Fax: 630-293-9239 | |
Sheena Aleena Eettickal, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 N Gary Ave, Carol Stream, IL 60188 Phone: 630-360-2958 Fax: 630-360-2959 | |
Dr. Azfar Mohammed Ali, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 560 Belmont Ln, Carol Stream, IL 60188 Phone: 630-510-6900 Fax: 630-871-6706 |