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Mrs. Sosimol Joseph Ethakattu, NP
Family Nurse Practitioner in Niles, Illinois
NPI 1689005316

Sosimol Joseph Ethakattu is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Sosimol Joseph Ethakattu practices in Niles, IL and has the professional credentials of NP. The NPI Number for Sosimol Joseph Ethakattu is 1689005316 and holds a License No. 209011033 (Illinois).

The current practice location address for Sosimol Joseph Ethakattu is 6601 W Touhy Ave, Niles, IL and can be reached out via phone at 847-647-9875.

Location: 6601 W Touhy Ave, Niles, IL, 60630-2429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689005316
Provider Name
Sosimol Joseph Ethakattu
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
6601 W Touhy Ave, Niles, IL, 60630-2429
Phone Number
847-647-9875
Fax Number
Provider Enumeration Date
12/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6601 W Touhy Ave
City
Niles
State
Illinois
Zip
60714-4515
Phone Number
847-647-9875
Fax Number
person
Provider Business Mailing Address Details
Address
6601 W Touhy Ave
City
Niles
State
Illinois
Zip
60714-4515
Phone Number
847-647-9875
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209011033 (Illinois)
Definition
Definition to come...
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