Thundiyil, Grace Muricken
Thundiyil, Grace Muricken is an individual health care provider with primary practice located at 4402 N Main St , Rockford IL 61103-1278. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Thundiyil, Grace Muricken can be contacted via phone (815) 987-7032.Contact Information
Primary practice address
4402 N Main St
Rockford IL 61103-1278
Phone: (815) 987-7032
Fax: (815) 987-7670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | Illinois |
Profile Details
| NPI number | 1184614026 |
|---|---|
| LBN Legal business name | Thundiyil, Grace Muricken |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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