Search › Illinois › 163WG0000X
Ruby Vellanikal
NPI 1649961509 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1520 Sumter Ct
Long Grove, IL 60047 - Phone
- (847) 532-4334
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-19
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