Individual
MRS. GINY THARAYIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CRNA
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0665
Mailing address
1029 LOMA LISA LN, ARCADIA, CA 91006-2219
(630) 890-4157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.018604
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2018
Last updated
02/19/2019
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