NPI 1093808628
Mini a Nedumgottil, OTRL
Practice location
- Address
- 5th & Roosevelt Rd, Hines, IL 60141
- Phone
- (708) 202-8387
- Mailing address
- 362 Foster Way, Bolingbrook, IL 60440
Registered specialties
Rehabilitation Hospital
Primary
Registry record
- NPI
- 1093808628
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Oct 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.