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NPI Code Detail

MEDICARE: ROSS ABRAMS M.D.

MEDICARE: ROSS ABRAMS M.D.
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
12085R0001XRadiation Oncology Physician036-111226IL

General Provider Information

NPI Number : 1356317564
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS ABRAMS M.D.
Provider Business Mailing Address
First Line : 520 S PAULINA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3804
Country : US
Telephone Number : 312-942-0712
Fax Number :
Provider Business Practice Location Address
First Line : 520 S PAULINA ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3804
Country : US
Telephone Number : 312-942-0712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 07/11/2011

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