Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chinmaya Modi

Individual provider Family Nurse Practitioner · NPI 1902640287

Chinmaya Modi is a Nurse Practitioner in Oak Brook, Illinois. Qualified in 2023, 3 years ago. Practices with Nova Medico SC, a 12-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2024

Practice location Address checks out

600 W 22nd St
Oak Brook, IL 60523-1947
Phone: (800) 238-9307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209029609 (IL)

Record details

NPI number1902640287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2024
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing address1089 Groton Ct, Schaumburg, IL 60193-3744

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Nova Medico Sc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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