Individual
DR. PARVATHY D KURUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 N GREENLEAF ST, SUITE A, GURNEE, IL 60031-3309
(847) 623-2114
(847) 623-4628
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9833
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036058250
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633381
BCBIL ADVANCED RAD
IL
05
—
036058250
—
IL
01
—
04932214
BCBSIL ROTATING GAMMA
IL
01
—
1548251986
ADV RAD NPI #
—
01
—
1902897358
ROT GAMMA NPI#
—
01
—
920007668
RR MEDICARE ADVANCED RAD
IL
01
—
CK9135
RR MEDICARE ADV RAD GR#
IL
01
—
DA2626
RR MEDICARE ROT GMA GR#
IL
01
—
P00042094
RR MEDICARE ROT GMA
IL
Enumeration date
11/03/2005
Last updated
12/08/2021
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