Individual
MOHAN C. ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 W HARRISON ST, CHICAGO, IL 60612-3736
(312) 864-7215
Mailing address
1926 W HARRISON ST, APT 209, CHICAGO, IL 60612-3737
(312) 799-9214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036124678
IL
207RN0300X
Nephrology Physician
Primary
036-124678
IL
Other
Enumeration date
12/27/2009
Last updated
04/21/2021
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