“General Practice Physician” (Oak Lawn, IL)
Location: Oak Lawn, IL
Taxonomy: General Practice Physician.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1881341881
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MIRA
MODI
DO
Practice Location Address:
4220 W 95TH ST STE 200
OAK LAWN IL
60453-3072
Practice Phone:
708-398-0287