| Kunjumol Pullathra Velayudhan, ANP | |
|
3650 W 95th St, Evergreen Park, IL 60805-2108 | |
| (708) 422-7715 | |
| (708) 422-7816 |
| Full Name | Kunjumol Pullathra Velayudhan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 3650 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124215264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 209006239 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skyline Physicians Llc | 9133367931 | 6 |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Skyline Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568704443 PECOS PAC ID: 9133367931 Enrollment ID: O20130606000709 |
| Mailing Address | Practice Location Address |
|---|---|
| Kunjumol Pullathra Velayudhan, ANP 3650 W 95th St, Evergreen Park, IL 60805-2108 Ph: (708) 422-7715 | Kunjumol Pullathra Velayudhan, ANP 3650 W 95th St, Evergreen Park, IL 60805-2108 Ph: (708) 422-7715 |
Mrs. Virginia Morgan, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St # L, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Jennifer Courts, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2955 W 95th St, Evergreen Park, IL 60805 Phone: 708-425-9399 Fax: 708-425-9306 | |
Angelika Fiedorowicz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2955 W 95th St, Evergreen Park, IL 60805 Phone: 331-204-5896 | |
Kristin Rogers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 | |
Eilish Marie Mulvey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3545 W 95th St, Evergreen Park, IL 60805 Phone: 708-346-5562 | |
Mrs. Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715 |