Jeneson John Abraham (NPI# 1013975218, PAC ID# 5395761324) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1013975218 |
PAC ID by PECOS | 5395761324 |
Professional Enrollment ID | I20051019000819 |
Full Name | Jeneson John Abraham |
Organization Legal Name | LAWNDALE CHRISTIAN HEALTH CENTER |
Address |
3860 W Ogden Ave Chicago IL 60623-2460 |
Phone Number | 8725883000 |
Gender | M |
Credential | PA |
Graduation Year | 2005 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2264336346 |
Number of Group Practice Members | 69 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140018 | MT SINAI HOSPITAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3860 W Ogden Ave, Chicago, IL 60623-2460 | 8725883000 | LAWNDALE CHRISTIAN HEALTH CENTER |
Organization Legal Name | LAWNDALE CHRISTIAN HEALTH CENTER |
Physicians | 80 |
Name | Specialty | Organization | Address |
---|---|---|---|
Suyeun Ban | Family Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Lisa A Werner | Physician Assistant | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Susan J Anderson Nelson | Ophthalmology | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Kara W. Greeley | Family Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
David R Miller | General Surgery | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Basal I Al Aswad | Orthopedic Surgery | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Janny Huang | Physician Assistant | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Lacie Dawn Schultz | Nurse Practitioner | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Christopher M Flinn | Internal Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
James Hwang | Family Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Street Address |
3860 W OGDEN AVE |
City | CHICAGO |
State | IL |
Zip | 60623-2460 |
Name | Specialty | Organization | Address |
---|---|---|---|
Suyeun Ban | Family Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Lisa A Werner | Physician Assistant | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Susan J Anderson Nelson | Ophthalmology | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Kara W. Greeley | Family Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
David R Miller | General Surgery | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Basal I Al Aswad | Orthopedic Surgery | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Janny Huang | Physician Assistant | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Lacie Dawn Schultz | Nurse Practitioner | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Christopher M Flinn | Internal Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
James Hwang | Family Medicine | Lawndale Christian Health Center | 3860 W Ogden Ave, Chicago, IL 60623-2460 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Wesley R Harmston | Family Medicine | Access Community Health Network | 3752 W 16th St, Chicago, IL 60623-2028 |
Rebecca R Smith | Certified Nurse Midwife | Access Community Health Network | 3752 W 16th St, Chicago, IL 60623-2028 |
Ivy Lou V Iraula | Certified Nurse Midwife | Access Community Health Network | 3752 W 16th St, Chicago, IL 60623-2028 |
Donald B Lassus | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
Dorothy A Dschida | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
Anne B Conquest | Certified Nurse Midwife (cnm) | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
Christopher M Boisselle | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
Santina J Wheat | Family Medicine | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
Alissa R Carlson | Obstetrics/gynecology | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
Nancy E Newbury | Certified Nurse Midwife | Erie Family Health Center Inc | 1504 S Albany Ave, Chicago, IL 60623-2209 |
Find all physicians in zip 60623 |
City | CHICAGO |
Zip Code | 60623 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CHICAGO + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.