Individual provider · Type 1 NPI
Bissy Kumpuckal, NP
Family Nurse Practitioner · Darien, IL
NPI number
1053784645
Active
Practice location
2213 Hamilton Ln
Darien, IL 60561-4346
Mailing address
1333 Butterfield Rd, Ste 130
Downers Grove, IL 60515-5641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209013257 (IL) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Darien
About NPI 1053784645
Bissy Kumpuckal, NP's National Provider Identifier is 1053784645, issued on Nov 5, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Darien, IL. The record was last updated on Jan 5, 2016.