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1659402410
KOODATHUMMURIEL EAPPEN
CHICAGO, IL
NPI
1659402410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 036-047865)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- KOODATHUMMURIEL EAPPEN M.D.
1634 W POLK ST
CHICAGO, IL 60612-4352
Phone number: 312-829-4224
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Mailing Address
-- KOODATHUMMURIEL EAPPEN M.D.
1335 S PRAIRIE AVE UNIT 1406
CHICAGO, IL 60605-3137
Phone number:
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