Individual
JOLLY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
731 N SANGAMON ST, 2ND FLOOR, CHICAGO, IL 60642-5955
(312) 985-7150
(312) 780-1462
Mailing address
731 N SANGAMON ST, 2ND FLOOR, CHICAGO, IL 60642-5955
(312) 985-7150
(312) 780-1462
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085003011
IL
Other
Enumeration date
08/29/2007
Last updated
02/01/2013
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