Individual
MRS. ELAMMA CHOLLAMPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-3112
Mailing address
1900 W POLK ST, STE 1200, CHICAGO, IL 60612-3723
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.010970
IL
Other
Enumeration date
04/23/2014
Last updated
04/22/2021
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