Abraham, Jeneson J

Abraham, Jeneson J is an individual health care provider with primary practice located at 3860 W Ogden Ave , Chicago IL 60623-2460. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Abraham, Jeneson J can be contacted via phone (872) 588-3000.

Contact Information

Primary practice address
3860 W Ogden Ave Chicago IL 60623-2460
Phone: (872) 588-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085002537 Illinois

Profile Details

NPI number 1013975218
LBN Legal business name Abraham, Jeneson J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 26th, 2021 - about 3 years ago

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.

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