OrganizationActive
Tullia LLC
NPI 1487407789 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · Northbrook, IL
Provider details
- NPI number
- 1487407789
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ketki Modi, Physician(312) 351-0988
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2455 Vicki Ln
Northbrook, IL 60062-6923
Phone: (312) 351-0988
Approximate (ZIP-level) locationGet directions
Mailing address
2455 Vicki Ln
Northbrook, IL 60062-6923
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.