Mathew, Jillu Panavelil
Mathew, Jillu Panavelil is an individual health care provider with primary practice located at 119 Blackhawk Ct Unit 5 , Wood Dale IL 60191-2813. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mathew, Jillu Panavelil can be contacted via phone (201) 527-5309.Contact Information
Primary practice address
119 Blackhawk Ct Unit 5
Wood Dale IL 60191-2813
Phone: (201) 527-5309
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.020218 | Illinois |
Profile Details
| NPI number | 1730628793 |
|---|---|
| LBN Legal business name | Mathew, Jillu Panavelil |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2017 |
| Last updated | Jul 30th, 2020 - about 5 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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