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General NPI Number Information
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NPI Number | 1013478932
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Entity Type | Individual
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Provider Name | ROHIT ABRAHAM MD, MPH, MAT
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 1740 W TAYLOR ST
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 866-600-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 912 S WOOD ST OFC 130B
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City | CHICAGO
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State | IL
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Zip | 60612-4300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036175160
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 036175160
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036175160
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License Number State | IL
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