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

Mallika Modak Patel

Individual provider Diagnostic Radiology Physician · NPI 1437524675

Mallika Modak Patel is a Diagnostic Radiology Physician in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700
Phone: (847) 570-2700
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 125.081303 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125.081303 (IL)

Record details

NPI number1437524675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2015
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

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