Doctor Name: | MISS MINI A NEDUMGOTTIL |
NPI Number: | 1093808628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | |
Business Practice Address: | 5th & Roosevelt Rd Hines, IL - 60141 |
Business Phone Number: | 7082028387 |
Business Fax Number: | |
Mailing Address: | 362 Foster Way, BOLINGBROOK |
State: | IL |
Postal Code: | 60440 |
Phone Number: | 7082028387 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283X00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Rehabilitation Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |