Greta W. Abraham

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1568830404 Issued in IL

Practice address

3001 Green Bay Rd
North Chicago, IL 60064-3048

Phone

(847) 688-6755

NPI assigned

Sep 9, 2015

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Greta Joseph Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1568830404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 LANDINGS LN",
            "address_2": "UNIT 207",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643048",
            "telephone_number": "847-688-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "GRETA",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209013110",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "1568830404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERAN AFFAIRS - DEPARTMENT OF DEFENSE",
            "identifier": "311575142",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "JOSEPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abbvie Endocrinology Inc (Pharmacy Solutions)
• Abbvie Endocrinology Inc. (myAbbVie Assist)
• Ehab Abdelhamid, MD
• Tariq Akram Abdelqader
• Dinuk I Abeysekera, M.D.
• Samuel M Abraham, LCSW
• Senah Abu-Samra
• Jabeen Naseem Abutalib, M.D.
• Crystal Nicole Ramirez Adamos, PT, DPT
• Faustina Adams

• Primary Care Nurse Practitioner in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.