AJIE JIBU MAMMARAPPALLIL (AGACNP) – Acute Care Nurse Practitioner, NPI 1215510987

AJIE JIBU MAMMARAPPALLIL (AGACNP) is a healthcare provider. based in Tinley park, Illinois. specializing in Acute Care Nurse Practitioner. They hold the professional credentials AGACNP. They hold a License No. 209022913 (IL). The NPI Number for AJIE JIBU MAMMARAPPALLIL (AGACNP) is 1215510987

Main info

Female
Name
AJIE JIBU MAMMARAPPALLIL (AGACNP)
NPI
1215510987
Phone
(312) 833-6055
Address
17704 RADCLIFFE CT
Enumeration Date
30 April 2021
Last Update Date
30 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for AJIE JIBU MAMMARAPPALLIL (AGACNP)

  • 17704 RADCLIFFE CT

    TINLEY PARK, IL 604872291

    Phone: (312) 833-6055

    Type: Mailing

  • 12251 S 80TH AVE

    PALOS HEIGHTS, IL 604631290

    Phone: (708) 923-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60487)

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Frequently asked questions

What NPI should I save for AJIE JIBU MAMMARAPPALLIL (AGACNP)?
Save NPI 1215510987 if you need a stable reference for AJIE JIBU MAMMARAPPALLIL (AGACNP).
Is AJIE JIBU MAMMARAPPALLIL (AGACNP) currently active in the NPI registry?
CMS-published data lists AJIE JIBU MAMMARAPPALLIL (AGACNP) as an active registrant.
What does AJIE JIBU MAMMARAPPALLIL (AGACNP) treat or focus on?
Patients typically see AJIE JIBU MAMMARAPPALLIL (AGACNP) under the specialty Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is AJIE JIBU MAMMARAPPALLIL (AGACNP)'s primary listing?
We display Tinley Park, Illinois because that is what the record indicates for AJIE JIBU MAMMARAPPALLIL (AGACNP).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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