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Individual

DR. ABRAHAM KURUVILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8333 W MAYNARD RD, NILES, IL 60714-1057
(313) 744-0549
(248) 918-0229
Mailing address
8333 W MAYNARD RD, NILES, IL 60714-1057
(313) 744-0549
(248) 918-0229

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01036332A
IN
2084N0400X
Neurology Physician
Primary
036-073473
IL
2084N0400X
Neurology Physician
036073473
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300050303
IN
01
PENDING
MEDICARE
FL
05
PENDING
FL
Enumeration date
05/05/2007
Last updated
02/25/2025
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