NPI 1487407789

Tullia LLC

Organisation Sports Medicine (Neuromusculoskeletal Medicine) Physician Northbrook, IL

Practice location

Address: 2455 Vicki Ln, Northbrook, IL 60062-6923
Phone: (312) 351-0988

Authorised official

Name: Ketki Modi
Title: Physician
Phone: (312) 351-0988

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204C00000X

Other Neuromusculoskeletal Medicine, Sports Medicine providers in Illinois →

Registry record

NPI: 1487407789
Entity type: Organization
NPI issued: 8 Apr 2024
Record last updated: 8 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.