Abraham, Daryn
Abraham, Daryn is an individual health care provider with primary practice located at 2210 Dean St Ste M , St Charles IL 60175-1059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Abraham, Daryn can be contacted via phone (630) 668-9610.Contact Information
Primary practice address
2210 Dean St Ste M
St Charles IL 60175-1059
Phone: (630) 668-9610
Fax: (630) 668-9813
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 036102247 | Illinois |
Profile Details
NPI number | 1104975770 |
---|---|
LBN Legal business name | Abraham, Daryn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Jul 12th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104975770 | NPPES |
Illinois | MEDICAID | 036102247 |
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