Individual
PHILIP JAMES ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036116505
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
036116505
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03611605
—
IL
Enumeration date
08/20/2006
Last updated
05/19/2020
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