Individual
ANGELA ALPHONSA POOTHURAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
612 E GOLF RD, SCHAUMBURG, IL 60173-4510
(872) 264-8388
Mailing address
3460 CRESCENT LN, GLENVIEW, IL 60026-3402
(847) 208-1332
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041.484908
IL
363LF0000X
Family Nurse Practitioner
Primary
209.028990
IL
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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