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Search › Illinois › 225100000X

Justin Nellamattom

NPI 1205551421 · on the registry since 2022

Practice

Address
5315 N Sheridan Rd
Chicago, IL 60640
Phone
(773) 541-2020
Organisation at this address
Active Healthcare, Ltd
Active Health Centers, Ltd.
North Suburban Rehabilitation, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois