Individual provider · NPI-1

Dr. Joseph Abraham, MD

Internal Medicine · Elmhurst, IL

NPI number1982809356
StatusActive
Last updated in NPPESAug 19, 2021

Details

NPI
1982809356
Entity type
Individual (NPI-1)
Name
Dr. Joseph Abraham
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 18, 2007
Certification date
Aug 19, 2021
Last updated
Aug 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036.117344ILYes

Practice location

1200 S York St Ste 2000
Elmhurst, IL 60126-5634

Phone 331-221-9001 · Fax 331-221-3936

Mailing address

4201 Winfield Rd Fl 4
Warrenville, IL 60555-4025

Phone 331-221-6377 · Fax 331-221-2357

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