Individual
JINCY EAPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 GLENDALE ST, WHEELING, IL 60090-2932
(847) 912-9670
Mailing address
50 GLENDALE ST, WHEELING, IL 60090-2932
(847) 912-9670
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021007
IL
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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