Provider Demographics
NPI:1679452346
Name:RICHARD S. ABRAMS, MD, SC
Entity type:Organization
Organization Name:RICHARD S. ABRAMS, MD, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-348-7003
Mailing Address - Street 1:PO BOX 148033
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-8033
Mailing Address - Country:US
Mailing Address - Phone:773-348-7003
Mailing Address - Fax:847-256-7880
Practice Address - Street 1:3525 W. PETERSON AVE
Practice Address - Street 2:SUITE T-1B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659
Practice Address - Country:US
Practice Address - Phone:773-348-7003
Practice Address - Fax:847-256-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036036185Medicaid