Abigail Drake, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085002790 Issued in IL

Practice address

4250 Dempster St
Skokie, IL 60076-2008

Phone

(847) 763-8850

Fax

(847) 763-8851

NPI assigned

Oct 2, 2010

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

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Solutions Glendale PCGroup PAC ID 7517103906, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Urgent Care Solutions Glendale, P.C.

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  Medicare reassignment Care Compare group NPD
• Primary Care Solutions P.C.

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1871923250
  Medicare reassignment
• Urgent Care Solutions Glendale, PC

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1780190801
  NPD
• North Shore Fertility, S.C.

  • Reproductive Endocrinology Physician
  • Skokie, IL
  • NPI 1205058617
  NPD (past)
• Primary Care Solutions P.C.

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1386527091
  NPD (past)
• Primary Care Solutions P.C.

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1851274567
  NPD (past)

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285977600000",
    "number": "1053620443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SCHOOL RD",
            "city": "CAMBRIDGE",
            "state": "VT",
            "postal_code": "054449520",
            "telephone_number": "720-202-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 DEMPSTER ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762008",
            "telephone_number": "847-763-8850",
            "fax_number": "847-763-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "ABIGAIL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-02",
        "last_updated": "2010-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002790",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr.Constantine Bruns
• Dr.Constantine Bruns PC
• Armin M. Drachler, MD
• Maria Dragos, ARDMS
• Dragoslav Gvozdjan MD LLC
• Delaney Drew, OTR/L
• Elizabeth Driscoll, APNP
• James Driscoll, LCPC
• Yvette M Driver, RPH, PHARMD
• Stephanie Drobac, MD

• Physician Assistant in Skokie, IL
• Providers in Skokie, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.