Velayudhan, Kunjumol Pullathra

Velayudhan, Kunjumol Pullathra is an individual health care provider with primary practice located at 3650 W 95Th St , Evergreen Park IL 60805-2108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Velayudhan, Kunjumol Pullathra can be contacted via phone (708) 422-7715.

Contact Information

Primary practice address
3650 W 95Th St Evergreen Park IL 60805-2108
Phone: (708) 422-7715
Fax: (708) 422-7816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209006239 Illinois

Profile Details

NPI number 1124215264
LBN Legal business name Velayudhan, Kunjumol Pullathra
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Feb 25th, 2009 - about 15 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.

Request for update

Popular Providers