Individual provider · NPI-1
Geo Athappilly, Blind Rehab Special
Specialist/Technologist, Rehabilitation, Blind · Hines, IL
NPI number1356467948
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1356467948
- Entity type
- Individual (NPI-1)
- Name
- Geo Athappilly
- Credential
- Blind Rehab Special
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255R0406X | Specialist/Technologist, Rehabilitation, Blind | – | – | Yes |
Practice location
5th St And RooseveltBldg 113
Hines, IL 60141
Phone 708-202-3556
Mailing address
2021 S Wolf RdApt 208
Hillside, IL 60162-2164
Phone 269-998-7730
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