Individual
DEEPA JOSE THOPPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
777 PARK AVE WEST, HIGHLAND PARK, IL 60035
(847) 480-3956
(847) 480-2861
Mailing address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2497
(847) 480-3956
(847) 480-2861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041344849
IL
363L00000X
Nurse Practitioner
Primary
209014682
IL
Other
Enumeration date
10/04/2016
Last updated
02/27/2020
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