IndividualActive
Jacob Avraham
NPI 1467713248 · Surgical Critical Care Physician · Chicago, IL
Provider details
- NPI number
- 1467713248
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 036149606 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
840 S Wood St Ste 402
Chicago, IL 60612-4325
Phone: (312) 996-1774
Approximate (ZIP-level) locationGet directions
Mailing address
840 S Wood St Ste 402
Chicago, IL 60612-4325
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.