Bissy Kumpuckal, NP

NPI #1053784645 in Darien, Illinois

Provider Information

NPI Number
1053784645
Entity Type
Individual
Name
Bissy Kumpuckal, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Nov 5, 2015
Last Updated
Jan 5, 2016

Practice Location

Address
2213 HAMILTON LN
City
Darien
ZIP Code
60561-4346
Phone
(630) 689-6553

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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