1245457993 NPI number — DR. JUDITH GAIL ABRAMSON M.D.

Table of content: DR. JUDITH GAIL ABRAMSON M.D. (NPI 1245457993)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245457993 NPI number — DR. JUDITH GAIL ABRAMSON M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ABRAMSON
Provider First Name:
JUDITH
Provider Middle Name:
GAIL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245457993
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
676 N SAINT CLAIR ST STE 850
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60611-3124
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-695-1964
Provider Business Mailing Address Fax Number:
312-695-6189

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 E SUPERIOR ST STE 420
Provider Second Line Business Practice Location Address:
MAGGIE DALY CTR FOR WOMEN'S CANCER CARE PRENTICE HOSP
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-695-1964
Provider Business Practice Location Address Fax Number:
312-695-6189
Provider Enumeration Date:
04/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  036077014 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)