Individual
JOHNY ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10830 S HALSTED ST, CHICAGO, IL 60628-3126
(773) 785-8000
(312) 533-2818
Mailing address
PO BOX 3855, CAROL STREAM, IL 60132-3855
(773) 785-8000
(312) 533-2818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.018674
IL
Other
Enumeration date
01/23/2019
Last updated
10/27/2023
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