- Practice location
- 820 S Damen Ave, Chicago, IL 60612-3728
- Phone
- 312-569-8063
- Fax
- —
- Last updated
- July 8, 2007
Maducolil Mathai Abraham is a Social Worker, Clinical based in Chicago, IL. Maducolil Mathai Abraham practices in Chicago, IL and has the professional credentials of LCSW, ACSW. The NPI Number for Maducolil Mathai Abraham is 1942403290 and holds a License No. 149002489 (IL). The current practice location address for Maducolil Mathai Abraham is 820 S Damen Ave, Chicago, IL 60612-3728 and can be reached out via phone at 312-569-8063.
Provider Profile Details
- NPI Number
- 1942403290
- Provider Name
- Maducolil Mathai Abraham
- Credential
- LCSW, ACSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 820 S Damen Ave, Chicago, IL 60612-3728
- Phone Number
- 312-569-8063
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 6, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 820 S Damen Ave
Chicago, IL 60612-3728 - City
- Chicago
- State
- Illinois
- Zip
- 60612-3728
- Phone Number
- 312-569-8063
Provider Business Mailing Address Details
- Address
- 1110 Longford Dr
Westmont, IL 60559-2632 - City
- Westmont
- State
- IL
- Zip
- 60559-2632
- Phone Number
- 630-852-8931
License Information
- License Number
- 149002489
- License State
- IL
- Taxonomy
- Social Worker, Clinical · 1041C0700X · 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 Mr. Maducolil M Abraham, LCSW, ACSW?
The NPI number of Mr. Maducolil M Abraham, LCSW, ACSW is 1942403290. It was assigned on June 6, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Maducolil M Abraham, LCSW, ACSW?
Mr. Maducolil M Abraham, LCSW, ACSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in IL under license number 149002489.
Where does Mr. Maducolil M Abraham, LCSW, ACSW practice?
The practice location is 820 S Damen Ave, Chicago, IL 60612-3728. The office can be reached at 312-569-8063 (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 1942403290 directly on the NPPES registry website.