Active NPIIndividual providerSole proprietor

Neethara Abraham, DMD

Dentist in Chicago, Illinois

NPI Number1679317481
Practice location
1726 W 18TH St, Chicago, IL 60608-3994
Fax
—
Last updated
June 26, 2024

Neethara Abraham is a Dentist based in Chicago, IL. Neethara Abraham practices in Chicago, IL and has the professional credentials of DMD. The NPI Number for Neethara Abraham is 1679317481 and holds a License No. 019.035167 (IL). The current practice location address for Neethara Abraham is 1726 W 18TH St, Chicago, IL 60608-3994 and can be reached out via phone at 312-733-7454.

Provider Profile Details

NPI Number
1679317481
Provider Name
Neethara Abraham
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1726 W 18TH St, Chicago, IL 60608-3994
Phone Number
312-733-7454
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2024
Last Update Date
June 26, 2024
Certification Date
June 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1726 W 18TH St
Chicago, IL 60608-3994
Zip
60608-3994
Phone Number
312-733-7454
Chicago, IL 60608Get directions →

Provider Business Mailing Address Details

Address
2390 Legacy Dr
Aurora, IL 60502-1368
City
Aurora
State
IL
Zip
60502-1368
Phone Number
630-853-3722

License Information

License Number
019.035167
License State
IL
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Neethara Abraham, DMD?

The NPI number of Neethara Abraham, DMD is 1679317481. It was assigned on June 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Neethara Abraham, DMD?

Neethara Abraham, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in IL under license number 019.035167.

Where does Neethara Abraham, DMD practice?

The practice location is 1726 W 18TH St, Chicago, IL 60608-3994. The office can be reached at 312-733-7454 (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 1679317481 directly on the NPPES registry website.

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