Individual
MR. ADAI V KARUTHALACKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-2246
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-2246
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/21/2018
Last updated
05/28/2024
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