Individual
MS. ANITA ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE, CCM
Contact information
Practice address
1900 W POLK ST STE 154, CHICAGO, IL 60612-3723
(312) 833-3369
Mailing address
1900 W POLK ST STE 154, CHICAGO, IL 60612-3723
(312) 833-3369
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041292573
IL
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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