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
Fax: (815) 744-9360
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821083791 NPPES
Illinois MEDICAID 036087425
Illinois Other 09932356

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