Healthcare Provider Details

I. General information

NPI: 1790344471
Provider Name (Legal Business Name): SABREE ABEDRABO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2019
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 LUTHER LN STE 2200
PARK RIDGE IL
60068-1270
US

IV. Provider business mailing address

PO BOX 19636
SPRINGFIELD IL
62794-9636
US

V. Phone/Fax

Practice location:
  • Phone: 847-268-8200
  • Fax: 847-318-2905
Mailing address:
  • Phone: 217-545-8000
  • Fax: 217-545-4735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036.159158
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: