Pillai, Anandavally
Pillai, Anandavally is an individual health care provider with primary practice located at 1051 Essington Rd Suite 100, Joliet IL 60435-2801. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Pillai, Anandavally can be contacted via phone (815) 744-4440.Contact Information
Primary practice address
1051 Essington Rd Suite 100
Joliet IL 60435-2801
Phone: (815) 744-4440
Fax: (815) 744-9360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Legal Medicine | 173000000X | 036087425 | Illinois |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036-087425 | Illinois |
Profile Details
NPI number | 1821083791 |
---|---|
LBN Legal business name | Pillai, Anandavally |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2005 |
Last updated | Sep 22nd, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821083791 | NPPES |
Illinois | MEDICAID | 036087425 | |
Illinois | Other | 09932356 |
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