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1548724578
JOHNY ABRAHAM
CHICAGO, IL
NPI
1548724578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209.018674)
Enumeration Date
2019-01-23
Last Update Date
2023-10-27
Business Address
JOHNY ABRAHAM
10830 S HALSTED ST
CHICAGO, IL 60628-3126
Phone number: 773-785-8000
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Mailing Address
JOHNY ABRAHAM
PO BOX 3855
CAROL STREAM, IL 60132-3855
Phone number: 773-785-8000
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