Individual provider Active NPI

Abbie Brink

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1205796729
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.012056 Issued in IL
Practice address
1725 W Harrison St Ste 358
Chicago, IL 60612-3849
Phone
(312) 942-5020
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.012056 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 358
Chicago, IL 60612-3849

Mailing address

1725 W Harrison St Ste 358
Chicago, IL 60612-3849
Phone (312) 942-5020

Other practice location 1

6065 Windy Hollow Ct
Loveland, OH 45140-6072
Phone (513) 680-6029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1205796729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 358",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123849",
            "telephone_number": "312-942-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 358",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123849",
            "telephone_number": "312-942-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6065 Windy Hollow Ct",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451406072",
            "country_code": "US",
            "telephone_number": "513-680-6029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINK",
        "first_name": "ABBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.012056",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.