Absolam, Michelle Ann

Absolam, Michelle Ann is an individual health care provider with primary practice located at 2019 W Touhy Ave , Chicago IL 60645-2405. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Absolam, Michelle Ann can be contacted via phone (738) 447-1957.

Contact Information

Primary practice address
2019 W Touhy Ave Chicago IL 60645-2405
Phone: (738) 447-1957
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 041333860 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209.007096 Illinois

Profile Details

NPI number 1871737486
LBN Legal business name Absolam, Michelle Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2009
Last updated Jun 29th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871737486 NPPES
Illinois MEDICAID 209007096

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