1. Home
  2. Directory
  3. Illinois
  4. Palos Heights
  5. Nurse Practitioner
  6. NPI Profile

AJIE JIBU MAMMARAPPALLIL AGACNP
NPI 1215510987
Nurse Practitioner - Acute Care in Palos Heights, IL

Active since April 30, 2021
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463(708) 923-4000 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ajie Jibu Mammarappallil Agacnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AJIE JIBU MAMMARAPPALLIL AGACNP (NPI 1215510987) is an individual acute care provider in Palos Heights, Illinois, licensed in Illinois (209022913) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1215510987
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAJIE JIBU MAMMARAPPALLILCredential: AGACNP
Location Address12251 S 80TH AVEPalos Heights, IL 60463-1290
Mailing Address17704 Radcliffe CtTinley Park, IL 60487-2291 · (312) 833-6055
Phone(708) 923-4000
Sole ProprietorNo
Enumeration DateApril 30, 2021
NPPES CertifiedApril 30, 2021
✔ NPI 1215510987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209022913
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209022913 (IL)
12251 S 80TH AVE, Palos Heights, IL 60463
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW SCOTT KOMINSKY MD
Anesthesiology
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-4000
NOOR BADER APRN, CRNA
Nurse Anesthetist, Certified Registered
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-3936
DR. JOSEPH C BREMER JR. M.D.
Emergency Medicine
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-5800
MARIKAY T GAZDA LCSW
Social Worker (Clinical)
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-4941
MICHAEL J BAUTISTA M.D.
Anesthesiology
12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463
Cook County (708) 923-5700
VALERIE SAFFAR APRN, CNP
Nurse Practitioner
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-5869
WINSTON DANG MD
Hospitalist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-4000
EMILY MACKANIN PT
Physical Therapist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-3368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ajie Mammarappallil's NPI number?

The NPI number for Ajie Mammarappallil is 1215510987. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Ajie Mammarappallil located?

Ajie Mammarappallil practices at 12251 S 80th Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-4000.

What is Ajie Mammarappallil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Ajie Mammarappallil was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.