Active NPI
Abigail Maylissa Hamilton
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1922870872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ABIGAIL MAYLISSA HAMILTON
- Practice address
- 2259 W Taylor St
Chicago, IL 60612-4233 - Phone
- (312) 285-2982
- Fax
- (844) 835-7034
- NPI assigned
- Oct 24, 2023
- 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
- Abigail M Hamilton
- Title
- Owner
- Phone
- (312) 285-2982
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2259 W Taylor St
Chicago, IL 60612-4233
Mailing address
2259 W Taylor St
Chicago, IL 60612-4233
Phone (312) 285-2982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231229002556 | IL | Part B Supplier - Clinic/Group Practice | 7113377391 |
Receives reassigned benefits from 2 practitioners Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1790321693
Family, IL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699401600000",
"number": "1922870872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124233",
"telephone_number": "312-285-2982",
"fax_number": "844-835-7034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2259 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124233",
"telephone_number": "312-285-2982",
"fax_number": "844-835-7034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABIGAIL MAYLISSA HAMILTON",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-285-2982"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"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 Nov 8, 2023; 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.