Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elizabeth J Puthenveetil, MD

Individual provider Family Medicine Physician · NPI 1417058256

Elizabeth J Puthenveetil, MD is a Family Practice in Galesburg, Illinois. Qualified in 1991, 35 years ago. Practices with St Mary Medical Center, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1707 N Henderson St
Galesburg, IL 61401-1320
Phone: (309) 343-1000
Fax: (309) 344-1054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1417058256
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice St Mary Medical Center — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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