Abraham, Saul Ian
Abraham, Saul Ian is an sole proprietor health care provider with primary practice located at 104 E Northwest Hwy , Mt Prospect IL 60056-3232. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Abraham, Saul Ian can be contacted via phone (847) 398-3744.Contact Information
Primary practice address
104 E Northwest Hwy
Mt Prospect IL 60056-3232
Phone: (847) 398-3744
Fax: (847) 398-3744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046006649 | Illinois |
Profile Details
| NPI number | 1285772400 |
|---|---|
| LBN Legal business name | Abraham, Saul Ian |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Oct 5th, 2012 - about 13 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 | 1285772400 | NPPES |
| Illinois | MEDICAID | 046006649 |
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