Individual provider · Type 1 NPI
Sosimol Joseph Ethakattu, NP
Family Nurse Practitioner · Niles, IL
NPI number
1689005316
Active
Practice location
6601 W Touhy Ave
Niles, IL 60714-4515
Mailing address
5132 N Elston Ave
Chicago, IL 60630-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209011033 (IL) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Queenester B. Gray-Hightower, FNPFamily Nurse Practitioner Niles, IL NPI 1346614260
- Elviraida Martinez, FNPFamily Nurse Practitioner Niles, IL NPI 1467294835
- Annette Fontanez, FNPFamily Nurse Practitioner Niles, IL NPI 1508339086
- Diane Rose Baboulas, APN FNP-CFamily Nurse Practitioner Niles, IL NPI 1538480132
- Erica Esslinger, FNP-BCFamily Nurse Practitioner Niles, IL NPI 1538561378
About NPI 1689005316
Sosimol Joseph Ethakattu, NP's National Provider Identifier is 1689005316, issued on Dec 5, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Niles, IL. The record was last updated on Dec 17, 2019.