Healthcare Provider Details

I. General information

NPI: 1679674360
Provider Name (Legal Business Name): ABRAMS TREATMENT ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E ONTARIO ST 3303B
CHICAGO IL
60611-4804
US

IV. Provider business mailing address

PO BOX 1182
NORTHBROOK IL
60065-1182
US

V. Phone/Fax

Practice location:
  • Phone: 847-480-0010
  • Fax: 219-879-8571
Mailing address:
  • Phone: 847-480-0010
  • Fax: 219-879-8571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. ROBERT C. ABRAMS
Title or Position: PRESIDENT
Credential: MSW
Phone: 847-480-0010