Abraham Jose Chourio, SA-C
Physician Assistant, Surgical in Mokena, IL. Individual provider (NPI-1).
NPI number1043045453
StatusActive
Last updated in NPPESSep 5, 2024
Details
- NPI
- 1043045453
- Entity type
- Individual (NPI-1)
- Name
- Abraham Jose Chourio
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2024
- Certification date
- Sep 5, 2024
- Last updated
- Sep 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 238000823 | IL | Yes |
Practice location
18761 Chestnut CtMokena, IL 60448-9501
Phone 786-448-9020
Mailing address
3002 Anton DrAurora, IL 60504-6606
Phone 689-282-7953
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All 29 Surgical Physician Assistant providers in Mokena · All 737 providers in Mokena
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