Mitul B. Modi, MD
Mitul B. Modi, MD is a Pathology in Maywood, Illinois. Qualified in 2012, 14 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 14
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2160 S 1st AveMaywood, IL 60153-3328
Phone: (248) 839-7383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 800 Spruce St, Philadelphia, PA 19107-6130 — (215) 829-6992
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 036164764 (IL) |
|---|---|
| Dermatopathology (Pathology) Physician | Taxonomy 207ZD0900X · Licence 125079219 (IL) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1649794876 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 31, 2017 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
| Mailing address | 2160 S 1st Ave, Maywood, IL 60153-3328 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Rush University Medical Group — 1499 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Maywood
-
Ifra Badar, MD
2160 S 1st Ave, Maywood, IL 60153-3328 · (904) 762-7311
-
Brian Nickoloff, MDPHD
2160 S First Ave (ems Bldg Rm 2209), Maywood, IL 60153 · (708) 216-3250
-
Dr. Darryl Alan Oble, MD, PHD
2160 S 1st Ave Loyola University Medical Ctr Dept OF Pathology, Maywood, IL 60153-3328 · (708) 216-2053
-
Dr. Jodi J Speiser, MD
2160 S 1st Ave Dept OF Pathology, Maywood, IL 60153-3328 · (414) 688-7492