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Individual
TINCY POOVATHUR
Active
Individual
TINCY POOVATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209009168
IL
363LF0000X
Family Nurse Practitioner
Primary
209009168
IL
Other
Enumeration date
12/15/2011
Last updated
06/30/2025
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