Individual
ASHLEY ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 N 9TH ST FL 3, SPRINGFIELD, IL 62702-5310
(217) 545-8000
(217) 545-2303
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.154137
IL
207W00000X
Ophthalmology Physician
Q7621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036154137
—
IL
Enumeration date
03/30/2012
Last updated
01/29/2024
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