Abraham, Sam

Abraham, Sam is an individual health care provider with primary practice located at 3001 Green Bay Rd Bldg 131, Room 132, North Chicago IL 60064-3048. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Abraham, Sam can be contacted via phone (224) 610-5833.

Contact Information

Primary practice address
3001 Green Bay Rd Bldg 131, Room 132 North Chicago IL 60064-3048
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-007189 Illinois

Profile Details

NPI number 1063657260
LBN Legal business name Abraham, Sam
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2008
Last updated Feb 7th, 2012 - about 12 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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