Preethi Abraham
Nurse Practitioner, Gerontology in Chicago, IL. Individual provider (NPI-1).
NPI number1235978727
StatusActive
Last updated in NPPESMay 23, 2024
Details
- NPI
- 1235978727
- Entity type
- Individual (NPI-1)
- Name
- Preethi Abraham
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2024
- Certification date
- May 23, 2024
- Last updated
- May 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 209.029605 | IL | Yes |
Practice location
6300 N Lincoln AvenueChicago, IL 60659
Phone 773-681-0260
Mailing address
9010 Mason AveMorton Grove, IL 60053
Phone 733-822-9366
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