Ruby Vellanikal
NPI #1649961509 in Long Grove, Illinois
Provider Information
- NPI Number
- 1649961509
- Entity Type
- Individual
- Name
- Ruby Vellanikal
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - General Practice
- Enumeration Date
- May 19, 2023
- Last Updated
- May 19, 2023
Practice Location
- Address
- 1520 SUMTER CT
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047-5155
- Phone
- (847) 532-4334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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