KUNHUNN VELLODY MD NPI 1255608808

NPI Information

NPI: 1255608808
Provider Name: KUNHUNN VELLODY MD
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2850 W 95TH ST
SUITE 201
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 229-2764
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KUNHUNN VELLODY MD is a primary care clinic center in Evergreen Park, IL. KUNHUNN VELLODY MD NPI is 1255608808. The provider is registered as an organization entity type.

The provider's business location address is:

2850 W 95TH ST
SUITE 201
EVERGREEN PARK, IL
ZIP 60805-735
Phone: (708) 229-2764

The provider's authorized official is Kunhunni Vellody .
The authorized official title is Peditrician and has the following contact phone number (708) 229-2764.

The enumeration date for this NPI number is 11/28/2011 and was last updated on 11/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	036046385	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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