KOODATHUMMURIEL EAPPEN

CHICAGO, IL
NPI1659402410
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036-047865)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
-- KOODATHUMMURIEL EAPPEN M.D.
1634 W POLK ST
CHICAGO, IL 60612-4352
Phone number: 312-829-4224
Mailing Address
-- KOODATHUMMURIEL EAPPEN M.D.
1335 S PRAIRIE AVE UNIT 1406
CHICAGO, IL 60605-3137
Phone number: