| Bertin Puthankudy, | |
|
4825 W Randolph St, Hillside, IL 60162-1018 | |
| (224) 478-3789 | |
| Not Available |
| Full Name | Bertin Puthankudy |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 4825 W Randolph St, Hillside, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831003805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.490145 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bertin Puthankudy, 4825 W Randolph St, Hillside, IL 60162-1018 Ph: (224) 478-3789 | Bertin Puthankudy, 4825 W Randolph St, Hillside, IL 60162-1018 Ph: (224) 478-3789 |
Ms. Sheryl Coddington, R.N., MSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1815 S Wolf Rd, Hillside, IL 60162 Phone: 708-236-0979 Fax: 708-236-5161 |
Mrs. Mary Cole, R.N, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4415 Idlewild Ln, Hillside, IL 60162 Phone: 708-547-9377 |