Zachary Avrom Abecassis

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI 1972968147 · NPPES record last updated Dec 15, 2015

Key facts

NPI
1972968147
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
240 E Huron St
Suite 1-200
Chicago, IL 60611-2909
Phone
(312) 503-7975
NPI assigned
Dec 15, 2015
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

240 E Huron St
Suite 1-200
Chicago, IL 60611-2909

Mailing address

240 E Huron St
Suite 1-200
Chicago, IL 60611-2909
Phone (312) 503-7975

Other providers in Chicago, IL

All providers in Chicago, IL · Student in an Organized Health Care Education/Training Program in Illinois

Sources for this page

Verify at the official NPI Registry.