Individual
DR. JACOB B. AVRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 S WOOD ST STE 402, CHICAGO, IL 60612-4325
(312) 996-1774
Mailing address
840 S WOOD ST STE 402, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036149606
IL
2086S0102X
Surgical Critical Care Physician
Primary
036.149606
IL
Other
Enumeration date
06/07/2012
Last updated
02/24/2025
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