Nellamattom, Julia

Nellamattom, Julia is an individual health care provider with primary practice located at 5020 Dempster St , Skokie IL 60077-1835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Nellamattom, Julia can be contacted via phone (847) 423-2264.

Contact Information

Primary practice address
5020 Dempster St Skokie IL 60077-1835
Phone: (847) 423-2264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1730890468
LBN Legal business name Nellamattom, Julia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2022
Last updated Dec 13th, 2022 - about 4 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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