Healthcare Provider Details

I. General information

NPI: 1912816141
Provider Name (Legal Business Name): ABBY TRAUM BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 N. LASALLE ST. #400
CHICAGO IL
60602
US

IV. Provider business mailing address

917 S MILLER ST APT 2F
CHICAGO IL
60607-4255
US

V. Phone/Fax

Practice location:
  • Phone: 847-493-3700
  • Fax: 847-493-3714
Mailing address:
  • Phone: 847-493-3700
  • Fax: 847-493-3714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: