Individual
DR. MARIA JISNA KURUPPATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1345 RYAN PKWY, ALGONQUIN, IL 60102-4530
(847) 658-9555
(847) 658-2167
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.172705
IL
Other
Enumeration date
04/22/2022
Last updated
08/14/2025
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