Abraham, Marietta P
Abraham, Marietta P is an individual health care provider with primary practice located at 10350 Haligus Rd , Huntley IL 60142-9545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Abraham, Marietta P can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
10350 Haligus Rd
Huntley IL 60142-9545
Phone: (815) 338-6600
Fax: (847) 802-7162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036109708 | Illinois |
Profile Details
| NPI number | 1376583658 |
|---|---|
| LBN Legal business name | Abraham, Marietta P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jun 15th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376583658 | NPPES |
| Illinois | Other | 04532206 | BLUE CROSS BLUE SHIELD |
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