LATHA S PANICKER

ELMHURST, IL
NPI1508110347
Professional NameLATHA S PANICKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: IL  209.009961)
Enumeration Date2012-11-01
Last Update Date2012-11-01
Business Address
LATHA S PANICKER APN-BC
977 N OAKLAWN AVE SUITE 104
ELMHURST, IL 60126-1045
Phone number: 800-683-7861
Mailing Address
LATHA S PANICKER APN-BC
800 S WILMETTE AVE
WESTMONT, IL 60559-8623
Phone number: 630-696-7594
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