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

Ruby Vellanikal

Individual provider General Practice Registered Nurse · NPI 1649961509

Ruby Vellanikal is a General Practice Registered Nurse in Long Grove, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023

Practice location Address checks out

1520 Sumter Ct
Long Grove, IL 60047-5155
Phone: (847) 532-4334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 041.333903 (IL)

Record details

NPI number1649961509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2023
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023
Mailing address1520 Sumter Ct, Long Grove, IL 60047-5155