IndividualActive
Jeevan Abraham, MD
NPI 1285097113 · Sports Medicine (Family Medicine) Physician · Gurnee, IL
Provider details
- NPI number
- 1285097113
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036.148437 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6155 Grand Ave Ste 200
Gurnee, IL 60031-1651
Phone: (847) 535-7157
Fax: (224) 271-3202
Approximate (ZIP-level) locationGet directions
Mailing address
6155 Grand Ave Ste 200
Gurnee, IL 60031-1651
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2024-11-13
- Certified
- 2024-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.