Individual
JOHN VELUKUNNEL PATHROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2720 W DIVISION ST, CHICAGO, IL 60622-2853
(773) 772-7858
(773) 687-9539
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209.029544
IL
Other
Enumeration date
09/17/2025
Last updated
03/21/2026
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