Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KETAN R MODY, M.D.
ActiveDR. KETAN R MODY, M.D. is a Sports Medicine healthcare provider located in WESTMONT, Illinois. NPI 1659562585 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · WESTMONT, IL
Registration Details
- NPI Number
- 1659562585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 6, 2007 (18.839621399329 yrs)
- Last Updated
- Jun 17, 2019
- License
-
036119306 (IL)
Practice Information
- Address
-
760 PASQUINELLI DR STE 304WESTMONT, IL, 605591290Browse IL providers · Browse ZIP 60559
- Phone
- 6307893764
- Fax
- 6302062490
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in WESTMONT, IL
| Name | Credential | NPI |
|---|---|---|
| RYAN TAYLOR | D.O. | 1639566375 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.