NPI 1003830852 · live from the CMS NPI Registry
Raju Zachariah Abraham, MD
Internal Medicine, Pulmonary Disease in Kankakee, IL. National Provider Identifier 1003830852, active.
NPI record
| NPI | 1003830852 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Pulmonary Disease 207RP1001X |
| Practice location | 500 N Wall St Ste C400, Kankakee, IL 60901 |
| Practice phone | 815-933-3814 |
| Enumerated | July 26, 2006 |
| Last updated | January 11, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Critical Care Medicine | 207RC0200X | 036085787 (IL) |
| Internal Medicine, Sleep Medicine | 207RS0012X | 036085787 (IL) |
| Internal Medicine, Pulmonary Disease primary | 207RP1001X | 036-085787 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.