Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125071675 | IL |
N | 111NI0900X | Internist | 125071675 | IL |
Y | 207RI0200X | Infectious Disease | 036-156021 | IL |
NPI | 1083195093 |
---|---|
Provider Name | Dr. Annette Abraham |
First Address | Chicago, IL 60612-3714 |
Second Address | Chicago, IL 60612-3714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2018 |
Last Update Date | 17/06/2021 |