Elite Sports Medicine Institute, Ltd.

NPI #1467687806 in Westmont, Illinois

Provider Information

NPI Number
1467687806
Entity Type
Organization
Organization Name
Elite Sports Medicine Institute, Ltd.
Primary Specialty
Family Medicine - Sports Medicine
Enumeration Date
May 28, 2009
Last Updated
Jan 13, 2015

Practice Location

Address
760 PASQUINELLI DR
Address 2
SUITE 304
ZIP Code
60559-5564
Phone
(630) 789-3764

Authorized Official

Name
KETAN RAJENDRA MODY, M.D.
Title
PRESIDENT
Phone
(630) 789-3764

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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