Individual
SANDRA ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
313 ANDREW AVE, DWIGHT, IL 60420-1645
(630) 605-5234
Mailing address
PO BOX 274, DWIGHT, IL 60420-0274
(630) 605-5234
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006840
IL
Other
Enumeration date
11/02/2007
Last updated
10/06/2014
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