Kizhakkadathu, Joseph
Kizhakkadathu, Joseph is an individual health care provider with primary practice located at 757 Park Ave W , Highland Park IL 60035-2556. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Kizhakkadathu, Joseph can be contacted via phone (847) 570-1700.Contact Information
Primary practice address
757 Park Ave W
Highland Park IL 60035-2556
Phone: (847) 570-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 085009965 | Illinois |
Profile Details
| NPI number | 1851081608 |
|---|---|
| LBN Legal business name | Kizhakkadathu, Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2023 |
| Last updated | Sep 7th, 2023 - about 3 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.
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