person
Ajie Jibu Mammarappallil, AGACNP
Gerontology Nurse Practitioner in Palos Heights, Illinois
NPI 1215510987

Ajie Jibu Mammarappallil is a Gerontology Nurse Practitioner based in Tinley Park, IL and is specialized in Gerontology. Ajie Jibu Mammarappallil practices in Palos Heights, IL and has the professional credentials of AGACNP. The NPI Number for Ajie Jibu Mammarappallil is 1215510987 and holds a License No. 209022913 (Illinois).

The current practice location address for Ajie Jibu Mammarappallil is 12251 S 80Th Ave, Palos Heights, IL and can be reached out via phone at 708-923-4000.

Location: 12251 S 80Th Ave, Palos Heights, IL, 60487-2291
person
Provider Profile Details
NPI Number
1215510987
Provider Name
Ajie Jibu Mammarappallil
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
12251 S 80Th Ave, Palos Heights, IL, 60487-2291
Phone Number
708-923-4000
Fax Number
Provider Enumeration Date
04/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12251 S 80Th Ave
City
State
Zip
60463-1290
Phone Number
708-923-4000
Fax Number
person
Provider Business Mailing Address Details
Address
12251 S 80Th Ave
City
State
Zip
60463-1290
Phone Number
708-923-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
209022913 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209022913 (Illinois)
Definition
Definition to come...
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