Chackunkal, Ellen

Chackunkal, Ellen is an individual health care provider with primary practice located at 1801 W Taylor St Suite 3C, Chicago IL 60612-4795. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Chackunkal, Ellen can be contacted via phone (312) 355-0117.

Contact Information

Primary practice address
1801 W Taylor St Suite 3C Chicago IL 60612-4795
Phone: (312) 355-0117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 051298546 Illinois

Profile Details

NPI number 1922552611
LBN Legal business name Chackunkal, Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Aug 10th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers