Active NPI
Richard S. Abrams, MD, SC
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Steven Abrams, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036036185 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Richard S Abrams MD SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1679452346
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.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1003992413
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.