Individual provider · Type 1 NPI

Michael G. Nellamattathil, DO

Diagnostic Radiology Physician · Evanston, IL

NPI number 1316309537 Active

Practice location

2650 Ridge Ave., Dept. Of Radiology
Evanston, IL 60201

Call (847) 570-2477 Map

Fax (847) 570-2942

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1700

Other practice locations

  • 676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 · (312) 695-5753
  • 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 · (813) 875-3950
  • 836 W Wellington Ave, Chicago, IL 60657-5147 · (773) 296-5424

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100X036155190 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X036155190 (IL)
Diagnostic Radiology Physician 2085R0202XOS23944 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1316309537

Michael G. Nellamattathil, DO's National Provider Identifier is 1316309537, issued on Mar 26, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Evanston, IL. The record was last updated on Jun 25, 2026.