Individual
MRS. JASSEENA BINCE VELIYATHUMALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(847) 770-2598
Mailing address
314 N MARCELLA RD, MOUNT PROSPECT, IL 60056-2615
(847) 759-9973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008781
IL
Other
Enumeration date
10/04/2012
Last updated
05/04/2021
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