Abraham, Maducolil Mathai

Abraham, Maducolil Mathai is an sole proprietor health care provider with primary practice located at 820 S Damen Ave , Chicago IL 60612-3728. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Abraham, Maducolil Mathai can be contacted via phone (312) 569-8063.

Contact Information

Primary practice address
820 S Damen Ave Chicago IL 60612-3728
Phone: (312) 569-8063
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1942403290
LBN Legal business name Abraham, Maducolil Mathai
Credentials LCSW, ACSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 17 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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