Individual provider · Type 1 NPI

Lena Modieh, NP-C

Family Nurse Practitioner · Tinley Park, IL

NPI number 1659878635 Active

Practice location

6701 159th St
Tinley Park, IL 60477

Mailing address

2000 Green Rd Ste 300
Ann Arbor, MI 48105-1575

Other practice locations

  • 9660 Wicker Ave, St. John, IN 46373-9487 · (219) 365-1177

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209.017130 (IL)
Family Nurse Practitioner 363LF0000X710094088A (IN)
Family Nurse Practitioner Primary 363LF0000X209.017130 (IL)

Family Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1659878635

Lena Modieh, NP-C's National Provider Identifier is 1659878635, issued on Apr 6, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tinley Park, IL. The record was last updated on Sep 24, 2019.