- Practice location
- 801 S Paulina St, Chicago, IL 60612-7210
- Phone
- 678-372-4690
- Fax
- —
- Last updated
- May 23, 2020
Pheba Marin Abraham is a Dentist, Orthodontics and Dentofacial Orthopedics based in Chicago, IL. Pheba Marin Abraham practices in Chicago, IL and has the professional credentials of DMD. The NPI Number for Pheba Marin Abraham is 1356964480 and holds a License No. 019.032574 (IL). The current practice location address for Pheba Marin Abraham is 801 S Paulina St, Chicago, IL 60612-7210 and can be reached out via phone at 678-372-4690.
Provider Profile Details
- NPI Number
- 1356964480
- Provider Name
- Pheba Marin Abraham
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 801 S Paulina St, Chicago, IL 60612-7210
- Phone Number
- 678-372-4690
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 23, 2020
- Last Update Date
- May 23, 2020
- Certification Date
- May 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 801 S Paulina St
Chicago, IL 60612-7210 - City
- Chicago
- State
- Illinois
- Zip
- 60612-7210
- Phone Number
- 678-372-4690
Provider Business Mailing Address Details
- Address
- 801 S Paulina St
Chicago, IL 60612-7210 - City
- Chicago
- State
- IL
- Zip
- 60612-7210
- Phone Number
- 678-372-4690
License Information
- License Number
- 019.032574
- License State
- IL
- Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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 Pheba M Abraham, DMD?
The NPI number of Pheba M Abraham, DMD is 1356964480. It was assigned on May 23, 2020 and is currently active in the NPPES registry.
What is the specialty of Pheba M Abraham, DMD?
Pheba M Abraham, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in IL under license number 019.032574.
Where does Pheba M Abraham, DMD practice?
The practice location is 801 S Paulina St, Chicago, IL 60612-7210. The office can be reached at 678-372-4690 (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 1356964480 directly on the NPPES registry website.