Individual provider · Type 1 NPI

Mitul B. Modi, MD

Dermatology Physician · Maywood, IL

NPI number 1649794876 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (248) 839-7383 Map

Other practice locations

  • 800 Spruce St, Philadelphia, PA 19107-6130 · (215) 829-6992

Specialties and licenses

TaxonomyCodeLicense
Dermatopathology (Pathology) Physician 207ZD0900X125079219 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dermatology Physician Primary 207N00000X036164764 (IL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1649794876

Mitul B. Modi, MD's National Provider Identifier is 1649794876, issued on Jul 31, 2017. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Maywood, IL. The record was last updated on Jan 16, 2025.