MRS. Sosimol Joseph Ethakattu, NP

NPI #1689005316 in Niles, Illinois

Provider Information

NPI Number
1689005316
Entity Type
Individual
Name
MRS. Sosimol Joseph Ethakattu, NP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Dec 5, 2013
Last Updated
Dec 17, 2019

Practice Location

Address
6601 W TOUHY AVE
City
Niles
ZIP Code
60714-4515
Phone
(847) 647-9875

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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