PHILSY JOMON EDAKARA

CHICAGO, IL
NPI1316587371
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.020369)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  209.020369)
Enumeration Date2020-01-07
Last Update Date2021-09-17
Business Address
PHILSY JOMON EDAKARA APRN
8015 S LUELLA AVE STE 212
CHICAGO, IL 60617-1151
Phone number: 773-721-0470
Mailing Address
PHILSY JOMON EDAKARA APRN
1313 HALLBERG LN
PARK RIDGE, IL 60068-1242
Phone number: