Tejal Modi

PHYSICIAN ASSISTANT

525 E Congress Pkwy

Suite 100

Crystal Lake, IL 600146271

(626) 327-6795

**NPI:** 1639370794

**Med School:** OTHER

**Experience:** 19 years

**Telehealth:** No

**Medicare Assignment:** Yes

Practice Locations (3)

CRYSTAL LAKE IMMEDIATE CARE PHYSICIANS LTD.

525 E Congress Pkwy, Suite 100
Crystal Lake, IL 600146271

Phone: (626) 327-6795

**Group ID:** 2961783139 | **Group Size:** 17 members

PREMISE HEALTH OF ILLINOIS MEDICAL PC

4179 Dundee Rd, Suite A106
Northbrook, IL 600622129

Phone: (847) 402-2300

**Group ID:** 3971764762 | **Group Size:** 27 members

PREMISE HEALTH OF ILLINOIS MEDICAL PC

6150 Joliet Rd
Countryside, IL 605253956

Phone: (708) 485-2273

**Group ID:** 3971764762 | **Group Size:** 27 members

ADVOCATE GOOD SHEPHERD HOSPITAL Type: Hospital
450 WEST HIGHWAY 22
Phone: (847) 381-9600
Medicare CCN: 140291 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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