Individual provider · NPI-1

Kazuko Abe, P.A.

Physician Assistant · Chicago, IL

NPI number1881840783
StatusActive
Last updated in NPPESMar 22, 2021

Details

NPI
1881840783
Entity type
Individual (NPI-1)
Name
Kazuko Abe
Credential
P.A.
Sex
Female
Sole proprietor
No
Enumeration date
Aug 11, 2008
Certification date
Mar 22, 2021
Last updated
Mar 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085005030ILYes

Practice location

251 E Huron St Ste 16-738
Chicago, IL 60611-2908

Phone 312-926-5924 · Fax 312-926-6134

Mailing address

251 E Huron St Ste 16-738
Chicago, IL 60611-2908

Phone 312-926-5924 · Fax 312-926-6134

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