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

Individual provider Dentist · NPI 1396704284

Dr. Rekha Modur, DDSDENTISTRY is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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Practice location Address checks out

1431 N Western Ave Ste 401
Chicago, IL 60622-7712
Phone: (773) 269-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019026099 (IL)

Record details

NPI number1396704284
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDSDENTISTRY
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

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