Search › Illinois › 2085R0202X
Michael Nellamattathil, DO
NPI 1316309537 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2650 Ridge Ave.
Dept. Of Radiology
Evanston, IL 60201 - Phone
- (847) 570-2477
- Fax
- (847) 570-2942
- Organisation at this address
- Glenbrook Hospital
Philip H Sheridan Jr Sc
Radiation Medicine Institute
Radiation Medicine Institute
Endeavor Health Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,254
Additional practice sites
- 836 W Wellington Ave, Chicago, IL
- 676 N Saint Clair St Ste 800, Chicago, IL
- 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085B0100X
390200000X
2085R0202X - Licence states on file
- IL, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois