Kappil, Mariam Mathew

Kappil, Mariam Mathew is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Kappil, Mariam Mathew can be contacted via phone (708) 684-5503.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-5503
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036125488 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-125488 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301087412 Michigan
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 036-125488 Illinois

Profile Details

NPI number 1922126390
LBN Legal business name Kappil, Mariam Mathew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Feb 2nd, 2024 - about last year

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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