AMMU THAMPI SUSHEELA

OAK PARK, IL
NPI1841842788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125075296)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-07-11
Last Update Date2023-07-14
Business Address
AMMU THAMPI SUSHEELA
101 MADISON ST SUITE 300
OAK PARK, IL 60302
Phone number: 954-639-1573
Mailing Address
AMMU THAMPI SUSHEELA
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: