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Search › Illinois › 2086S0102X

Jacob Avraham

NPI 1467713248 · on the registry since 2012

Practice

Address
840 S Wood St Ste 402
Chicago, IL 60612
Phone
(312) 996-1774
Organisation at this address
University Of Illinois
University Of Illinois At Chicago
University Of Illinois Medical Center
Board Of Trustees Of The University Of Illinois
Board Of Trustees Of The University Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
165

Registry record

Primary taxonomy
2086S0102X
2086S0102X
Also registered as
208600000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois