NPIMap

Individual provider Active NPI

Paul R Abbo, M.D.

  • Internal Medicine Physician
  • River Forest, IL
National Provider Identifier
1083693378
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-096381 Issued in IL
Practice address
7411 Lake St Ste 1120
River Forest, IL 60305-1882
Phone
(708) 763-2328
Fax
(708) 345-9984
NPI assigned
Jan 13, 2006
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-096381 IL Primary

Addresses

Primary practice location

7411 Lake St Ste 1120
River Forest, IL 60305-1882

Mailing address

7411 Lake St Ste 1120
River Forest, IL 60305-1882
Phone (708) 763-2328

Other identifiers 1

IdentifierTypeStateIssuer
036-096381MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000016 IL Practitioner - Internal Medicine 2567437205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Resilience Healthcare - Lakefront Medical Associates LLCGroup PAC ID 5991046468, 37 clinicians
Thorek Memorial HospitalGroup PAC ID 4981593399, 49 clinicians

Practice addresses (Care Compare)

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-2328

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-096381ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Jan 29, 2019 Accepting new patients

Locations

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

4646 N Marine Dr
Fl 3
Chicago, IL 60640
Phone (773) 564-6060

4646 N Marine Dr
Fl 6
Chicago, IL 60640
Phone (773) 564-6150

4700 N Marine Dr
Ste 300
Chicago, IL 60640
Phone (708) 763-2328

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

7411 Lake St
River Forest, IL 60305
Phone (708) 488-1700

7411 Lake St
Ste 1120
River Forest, IL 60305
Phone (708) 488-1490

Interoperability endpoints

  • Direct secure messaging: paul.abbo.1@18552.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1083693378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST STE 1120",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051882",
            "telephone_number": "708-763-2328",
            "fax_number": "708-345-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 LAKE ST STE 1120",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051882",
            "telephone_number": "708-763-2328",
            "fax_number": "708-345-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBO",
        "first_name": "PAUL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-096381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-096381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.