BISSY KUMPUCKAL

DARIEN, IL
NPI1053784645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209013257)
Enumeration Date2015-11-05
Last Update Date2016-01-05
Business Address
-- BISSY KUMPUCKAL NP
2213 HAMILTON LN
DARIEN, IL 60561-4346
Phone number: 630-689-6553
Mailing Address
-- BISSY KUMPUCKAL NP
1333 BUTTERFIELD RD STE 130
DOWNERS GROVE, IL 60515-5641
Phone number: 630-371-0133
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