Individual
DR. KUNHUNNI VELLODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2850 W 95TH STREET, SUITE 203, EVERGREEN PARK, IL 60805-2734
(708) 229-2764
(708) 229-2766
Mailing address
2850 W 95TH STREET, SUITE 203, EVERGREEN PARK, IL 60805-2734
(708) 229-2764
(708) 229-2766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21603948
BLUE CROSS
IL
Enumeration date
06/29/2006
Last updated
07/08/2007
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