- Practice location
- 3860 W Ogden Ave, Chicago, IL 60623-2460
- Phone
- 872-588-3000
- Fax
- —
- Last updated
- May 26, 2021
Jeneson J Abraham is a Physician Assistant, Medical based in Chicago, IL. Jeneson J Abraham practices in Chicago, IL and has the professional credentials of PA. The NPI Number for Jeneson J Abraham is 1013975218 and holds a License No. 085002537 (IL). The current practice location address for Jeneson J Abraham is 3860 W Ogden Ave, Chicago, IL 60623-2460 and can be reached out via phone at 872-588-3000.
Provider Profile Details
- NPI Number
- 1013975218
- Provider Name
- Jeneson J Abraham
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3860 W Ogden Ave, Chicago, IL 60623-2460
- Phone Number
- 872-588-3000
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 4, 2006
- Last Update Date
- May 26, 2021
- Certification Date
- May 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3860 W Ogden Ave
Chicago, IL 60623-2460 - City
- Chicago
- State
- Illinois
- Zip
- 60623-2460
- Phone Number
- 872-588-3000
Provider Business Mailing Address Details
- Address
- 3860 W Ogden Ave
Chicago, IL 60623-2460 - City
- Chicago
- State
- IL
- Zip
- 60623-2460
- Phone Number
- 872-588-3000
License Information
- License Number
- 085002537
- License State
- IL
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeneson J Abraham, PA?
The NPI number of Jeneson J Abraham, PA is 1013975218. It was assigned on May 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Jeneson J Abraham, PA?
Jeneson J Abraham, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in IL under license number 085002537.
Where does Jeneson J Abraham, PA practice?
The practice location is 3860 W Ogden Ave, Chicago, IL 60623-2460. The office can be reached at 872-588-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013975218 directly on the NPPES registry website.