Individual
MRS. MINIMOL RAVU ARACKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-BC
Contact information
Practice address
505 DOVER DR, DES PLAINES, IL 60018-5545
(847) 813-9119
Mailing address
505 DOVER DR, DES PLAINES, IL 60018-5545
(847) 813-9119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.335478
IL
363LF0000X
Family Nurse Practitioner
209010069
IL
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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