Abraham, Daryn

Abraham, Daryn is an individual health care provider with primary practice located at 2210 Dean St Ste M , St Charles IL 60175-1059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Abraham, Daryn can be contacted via phone (630) 668-9610.

Contact Information

Primary practice address
2210 Dean St Ste M St Charles IL 60175-1059
Phone: (630) 668-9610
Fax: (630) 668-9813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 036102247 Illinois

Profile Details

NPI number 1104975770
LBN Legal business name Abraham, Daryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jul 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104975770 NPPES
Illinois MEDICAID 036102247

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