Individual provider · Type 1 NPI

Philsy Jomon Edakara, APRN

Nurse Practitioner · Chicago, IL

NPI number 1316587371 Active

Practice location

8015 S Luella Ave Ste 212
Chicago, IL 60617-1151

Mailing address

1313 Hallberg Ln
Park Ridge, IL 60068-1242

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.020369 (IL)
Family Nurse Practitioner 363LF0000X209.020369 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316587371

Philsy Jomon Edakara, APRN's National Provider Identifier is 1316587371, issued on Jan 7, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 17, 2021.