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Individual

DR. ALIN K. ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1019 SCHOOL ST, LISLE, IL 60532-1870
(630) 315-8800
(630) 315-8829
Mailing address
1019 SCHOOL ST, LISLE, IL 60532-1870
(630) 315-8800
(630) 315-8829

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036120485
IL
208000000X
Pediatrics Physician
036120485
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036120485
IL
01
482450002
MEDICARE PTAN (INDIVIDUAL)
IL
01
487450
MEDICARE PTAN (INDIVIDUAL)
IL
01
920540
MEDICARE PTAN (GROUP)
IL
01
F400123521
MEDICARE PTAN (INDIVDUAL)
IL
01
P00754679
RR MEDICARE
IL
Enumeration date
07/10/2008
Last updated
06/20/2025
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