Individual provider · Type 1 NPI
Lashly Palakkattu
Gerontology Nurse Practitioner · Park Ridge, IL
NPI number
1093434409
Active
Practice location
1775 Ballard Rd
Park Ridge, IL 60068-1005
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209.022256 (IL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209.022256 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1093434409
Lashly Palakkattu's National Provider Identifier is 1093434409, issued on Aug 26, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Park Ridge, IL. The record was last updated on Oct 29, 2025.