Individual
AMMAL VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10910 BEAR ISLAND AVE, ORLAND PARK, IL 60467-5398
(708) 403-2159
Mailing address
10910 BEAR ISLAND AVE, ORLAND PARK, IL 60467-5398
(708) 403-2159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.011416
IL
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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