Individual
DR. ISSAC G. PLAMOOTTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E FAIRMAN AVE, WATSEKA, IL 60970-1644
(630) 321-8300
(630) 321-8750
Mailing address
150 QUAIL RIDGE DR, WESTMONT, IL 60559-6142
(630) 321-8300
(630) 321-8750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-077802
IL
207Q00000X
Family Medicine Physician
036-077802
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-077802
—
IL
Enumeration date
08/30/2005
Last updated
08/19/2020
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