Johny Abraham
Nurse Practitioner, Family in Chicago, Illinois
1548724578- Practice location
- 10830 S Halsted St, Chicago, IL 60628-3126
- Phone
- 773-785-8000
- Fax
- 312-533-2818
- Last updated
- October 27, 2023
Johny Abraham is a Nurse Practitioner, Family based in Chicago, IL. The NPI number for Johny Abraham is 1548724578 and holds license No. 209.018674 (IL). The current practice location address is 10830 S Halsted St, Chicago, IL 60628-3126 and the office can be reached by phone at 773-785-8000 and by fax at 312-533-2818. The NPI was assigned on January 23, 2019 and the record was last updated in NPPES on October 27, 2023.
●Provider Profile Details
- NPI Number
- 1548724578
- Provider Name
- Johny Abraham
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Enumeration Date
- January 23, 2019
- Last Update Date
- October 27, 2023
- Certification Date
- October 27, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 10830 S Halsted St
Chicago, IL 60628-3126 - City
- Chicago
- State
- Illinois
- ZIP
- 60628-3126
- Country
- US
- Phone Number
- 773-785-8000
- Fax Number
- 312-533-2818
✉Business Mailing Address
- Address
- Po Box 3855
Carol Stream, IL 60132-3855 - City
- Carol Stream
- State
- IL
- ZIP
- 60132-3855
- Phone Number
- 773-785-8000
- Fax Number
- 312-533-2818
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | Yes | 209.018674 | IL |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Chicago →?Frequently Asked Questions
What is the NPI number of Johny Abraham?
The NPI number of Johny Abraham is 1548724578. It was assigned on January 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Johny Abraham?
Johny Abraham is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 209.018674 (IL).
Where does Johny Abraham practice?
The practice location is 10830 S Halsted St, Chicago, IL 60628-3126. The office can be reached at 773-785-8000 (phone) or 312-533-2818 (fax).
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 1548724578 directly on the NPPES registry website at npiregistry.cms.hhs.gov.