Nellamattathil, Michael

Nellamattathil, Michael is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave. Dept. Of Radiology, Evanston IL 60201. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Nellamattathil, Michael can be contacted via phone (847) 570-2477.

Contact Information

Primary practice address
2650 Ridge Ave. Dept. Of Radiology Evanston IL 60201
Phone: (847) 570-2477
Fax: (847) 570-2942
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 036155190 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036155190 Illinois

Profile Details

NPI number 1316309537
LBN Legal business name Nellamattathil, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2016
Last updated Apr 8th, 2022 - about 2 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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