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Contact Information

JENESON J ABRAHAM, PA
3860 W OGDEN AVE
CHICAGO, IL60623-2460
 Phone: 872-588-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

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

NPI # 1013975218
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/04/2006
Last updated 05/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085002537
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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