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Contact Information

ABRAHAM J BRONNER, MD
4440 W 95TH STREET
OAK LAWN, IL60653
 Phone: 708-346-5520
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for ABRAHAM J BRONNER · (Male)

NPI Number 1558339937
Status Active
Credentials MD
Entity Individual
Enumeration date 03/10/2006
Last updated 11/03/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036069940
  • KY License # 40213
  • IL Medicaid 036069940
  • KY Medicaid 7100012610
  • IL Other P00197522 RAILROAD MEDICARE
  • KY Other P00928221 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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