Organization Active NPI

Kunhunn Vellody MD

  • Primary Care Clinic/Center
  • Evergreen Park, IL
National Provider Identifier
1255608808
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036046385 Issued in IL
Legal business name
KUNHUNN VELLODY MD
Practice address
2850 W 95TH St
Suite 201
Evergreen Park, IL 60805-2735
Phone
(708) 229-2764
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kunhunni Vellody
Title
Peditrician
Phone
(708) 229-2764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036046385 IL Primary

Addresses

Primary practice location

2850 W 95TH St
Suite 201
Evergreen Park, IL 60805-2735

Mailing address

2850 W 95TH St
Suite 201
Evergreen Park, IL 60805-2735

National Provider Directory

National Provider Directory

Locations

2850 W 95th St
Ste 201
Evergreen Pk, IL 60805
Phone (708) 229-2764

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1255608808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 201",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 201",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052735",
            "telephone_number": "708-229-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNHUNN VELLODY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "VELLODY",
        "authorized_official_first_name": "KUNHUNNI",
        "authorized_official_title_or_position": "PEDITRICIAN",
        "authorized_official_telephone_number": "708-229-2764",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036046385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.