Organization Active NPI

Richard S. Abrams, MD, SC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1124258975
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
RICHARD S. ABRAMS, MD, SC
Practice address
3525 W Peterson Ave Ste T18
Chicago, IL 60659-3312
Phone
(773) 348-7003
Fax
(847) 256-7880
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Richard Steven Abrams, MDNPI 1003992413
Title
Pres
Phone
(773) 348-7003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3525 W Peterson Ave Ste T18
Chicago, IL 60659-3312

Mailing address

2016 Wilmette Ave
Wilmette, IL 60091-2346
Phone (773) 348-7003

Other identifiers 1

IdentifierTypeStateIssuer
036036185MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090807000407 IL Part B Supplier - Clinic/Group Practice 1153474168 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington HTS, IL; Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Richard S Abrams MD SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2800 N Sheridan Rd
Ste 610
Chicago, IL 60657
Phone (773) 324-1002

3525 W Peterson Ave
Ste T18
Chicago, IL 60659
Phone (773) 348-7003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1124258975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 WILMETTE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912346",
            "telephone_number": "773-348-7003",
            "fax_number": "847-256-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W PETERSON AVE STE T18",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593312",
            "telephone_number": "773-348-7003",
            "fax_number": "847-256-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. ABRAMS, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "ABRAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "773-348-7003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036036185",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.