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NPI Code Detail

MEDICARE: DR. ROHIT ABRAHAM MD, MPH, MAT

MEDICARE: DR. ROHIT ABRAHAM MD, MPH, MAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician036175160IL
2207Q00000XFamily Medicine Physician036175160IL
32084P0802XAddiction Psychiatry Physician036175160IL
4207QA0401XAddiction Medicine (Family Medicine) Physician036175160IL
52083A0300XAddiction Medicine (Preventive Medicine) Physician036175160IL

General Provider Information

NPI Number : 1013478932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROHIT ABRAHAM MD, MPH, MAT
Provider Business Mailing Address
First Line : 912 S WOOD ST OFC 130B
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 866-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 01/26/2026

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