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Ruby Vellanikal
General Practice Registered Nurse in Long Grove, Illinois
NPI 1649961509

Ruby Vellanikal is a General Practice Registered Nurse based in Long Grove, IL and is specialized in General Practice. Ruby Vellanikal practices in Long Grove, IL. The NPI Number for Ruby Vellanikal is 1649961509 and holds a License No. 041.333903 (Illinois).

The current practice location address for Ruby Vellanikal is 1520 Sumter Ct, Long Grove, IL and can be reached out via phone at 847-532-4334.

Location: 1520 Sumter Ct, Long Grove, IL, 60047-5155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649961509
Provider Name
Ruby Vellanikal
Credential
Provider Entity Type
Individual
Gender
Female
Address
1520 Sumter Ct, Long Grove, IL, 60047-5155
Phone Number
847-532-4334
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1520 Sumter Ct
City
Long Grove
State
Illinois
Zip
60047-5155
Phone Number
847-532-4334
Fax Number
person
Provider Business Mailing Address Details
Address
1520 Sumter Ct
City
Long Grove
State
Illinois
Zip
60047-5155
Phone Number
847-532-4334
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
041.333903 (Illinois)
Definition
Definition to come...
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