Active NPI
Abner Clark
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1790694651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1484 W Farragut Ave
Chicago, IL 60640-2104 - Phone
- (603) 570-8075
- NPI assigned
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1484 W Farragut Ave
Chicago, IL 60640-2104
Mailing address
1484 W Farragut Ave
Chicago, IL 60640-2104
Other names 1
- Abner Hollow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1790694651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1484 W FARRAGUT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1484 W FARRAGUT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402104",
"telephone_number": "603-570-8075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ABNER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABNER",
"last_name": "HOLLOW",
"code": "2",
"type": "Professional Name"
}
]
}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 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.