Jacob, Ancy Chakkalakal

Jacob, Ancy Chakkalakal is an individual health care provider with primary practice located at 1969 W Ogden Ave , Chicago IL 60612-3765. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Hospice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jacob, Ancy Chakkalakal can be contacted via phone (312) 864-4395.

Contact Information

Primary practice address
1969 W Ogden Ave Chicago IL 60612-3765
Phone: (312) 864-4395
Fax: (312) 864-9500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.011429 Illinois
Nursing Service Providers / Hospice 163WH1000X 041-306342 Illinois

Profile Details

NPI number 1457779639
LBN Legal business name Jacob, Ancy Chakkalakal
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2014
Last updated Apr 26th, 2021 - about 4 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.

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