Plamoottil, Issac G.

Plamoottil, Issac G. is an individual health care provider with primary practice located at 200 E Fairman Ave , Watseka IL 60970-1644. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Plamoottil, Issac G. can be contacted via phone (630) 321-8300.

Contact Information

Primary practice address
200 E Fairman Ave Watseka IL 60970-1644
Phone: (630) 321-8300
Fax: (630) 321-8750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-077802 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-077802 Illinois

Profile Details

NPI number 1942293469
LBN Legal business name Plamoottil, Issac G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Aug 19th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942293469 NPPES
Illinois MEDICAID 036-077802

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