Mammarappallil, Ajie Jibu

Mammarappallil, Ajie Jibu is an individual health care provider with primary practice located at 12251 S 80Th Ave , Palos Heights IL 60463-1290. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Mammarappallil, Ajie Jibu can be contacted via phone (708) 923-4000.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Heights IL 60463-1290
Phone: (708) 923-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209022913 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209022913 Illinois

Profile Details

NPI number 1215510987
LBN Legal business name Mammarappallil, Ajie Jibu
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2021
Last updated Apr 30th, 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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