Healthcare Provider Details

I. General information

NPI: 1477484921
Provider Name (Legal Business Name): SUNIL KUMAR GOPALAKRISHNA PILLAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 EAGLE ST
JOLIET IL
60432-2031
US

IV. Provider business mailing address

40 CENTER AVE
WHEELING IL
60090-3100
US

V. Phone/Fax

Practice location:
  • Phone: 815-740-8100
  • Fax:
Mailing address:
  • Phone: 815-740-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License Number194011194
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: