Individual
JINEX VATTAKATTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209023245
IL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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