Individual
MR. LAWRENCE EDO ABAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
75 EXECUTIVE DR STE 339, AURORA, IL 60504-8124
(773) 772-7858
Mailing address
75 EXECUTIVE DR STE 447, AURORA, IL 60504-8112
(773) 772-7858
(734) 203-7149
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209018813
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209018813
IL
Other
Enumeration date
03/19/2019
Last updated
03/16/2025
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