IndividualActive
Adai Karuthalackal, PA-C
NPI 1558848671 · Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1558848671
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1901 W Harrison St
Chicago, IL 60612-3714
Phone: (312) 864-2246
Approximate (ZIP-level) locationGet directions
Mailing address
1901 W Harrison St
Chicago, IL 60612-3714
Registry dates
- Enumerated
- 2018-07-21
- Last updated
- 2024-05-28
- Certified
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.