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Provider Information for 1063925501


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALWIN SUNNY ABRAHAM


Other Names:  
Professional Name: 
ALWIN S ABRAHAM LCSW

Sex: Male

NPI: 1063925501
Last Updated: 2019-05-16
Certification Date:

Details

NameValue
NPI1063925501
Enumeration Date2017-11-07
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 8235 MOURNING DOVE CT
WOODRIDGE, IL 60517-4508
United States

Phone: 610-914-0409 | Fax:
 
Primary Practice Address 8235 MOURNING DOVE CT
WOODRIDGE, IL 60517-6051
United States

Phone: 630-914-0409 | Fax:
 
Secondary Practice Address(es)

1900 E MAIN ST
DANVILLE, IL 61832-5100
United States

Phone: 217-918-7426 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 104100000X - Social Worker IL150.101618
Yes 1041C0700X - Social Worker - ClinicalIL149.020226