SearchIllinois152W00000X

Theresa Pulickal, O.D

NPI 1710439633 · on the registry since 2016 · sole proprietor

Practice

Address
344 E Huntington Ln
Elmhurst, IL 60126
Phone
(956) 358-4501

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
Licence states on file
IL, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-26

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