Individual
ABAAN MERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(312) 766-4949
Mailing address
3134 N CLARK ST, CHICAGO, IL 60657-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.083915
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
06/18/2024
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