Healthcare Provider Details

I. General information

NPI: 1609793256
Provider Name (Legal Business Name): MINNU M PILLAI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 OXFORD ST
DOWNERS GROVE IL
60516-2943
US

IV. Provider business mailing address

949 OXFORD ST
DOWNERS GROVE IL
60516-2943
US

V. Phone/Fax

Practice location:
  • Phone: 630-514-9553
  • Fax:
Mailing address:
  • Phone: 630-514-9553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number84429
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: