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Michael Nellamattathil, DO
Diagnostic Radiology Physician in Evanston, Illinois
NPI 1316309537

Michael Nellamattathil is a Diagnostic Radiology Physician based in Evanston, IL and is specialized in Diagnostic Radiology. Michael Nellamattathil practices in Evanston, IL and has the professional credentials of DO. The NPI Number for Michael Nellamattathil is 1316309537 and holds a License No. 036155190 (Illinois).

The current practice location address for Michael Nellamattathil is 2650 Ridge Ave., Evanston, IL and can be reached out via phone at 847-570-2477 and via fax at 847-570-2942.

Location: 2650 Ridge Ave., Evanston, IL, 60201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316309537
Provider Name
Michael Nellamattathil
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2650 Ridge Ave., Evanston, IL, 60201
Phone Number
847-570-2477
Fax Number
847-570-2942
Provider Enumeration Date
03/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2650 Ridge Ave.
City
Evanston
State
Illinois
Zip
60201
Phone Number
847-570-2477
Fax Number
847-570-2942
person
Provider Business Mailing Address Details
Address
2650 Ridge Ave.
City
Evanston
State
Illinois
Zip
60201
Phone Number
847-570-2477
Fax Number
847-570-2942
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
036155190 (Illinois)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036155190 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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