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

Individual provider Pediatrics Physician · NPI 1659402410

Koodathummuriel Eappen, MD is a Pediatrics Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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

1634 W Polk St
Chicago, IL 60612-4352
Phone: (312) 829-4224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X (IL)

Record details

NPI number1659402410
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1335 S Prairie Ave Unit 1406, Chicago, IL 60605-3137

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