MEDICARE: ABIGAIL BORIS PA-C

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
1	363A00000X	Physician Assistant	085.011464	IL

General Provider Information

NPI Number	:	1952285793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL BORIS PA-C

Provider Business Mailing Address
First Line	:	1801 W TAYLOR ST # 2A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4795
Country	:	US
Telephone Number	:	312-996-1300
Fax Number	:	312-996-8814

Provider Business Practice Location Address
First Line	:	1801 W TAYLOR ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-4795
Country	:	US
Telephone Number	:	312-996-1300
Fax Number	:	312-996-8814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	03/10/2026

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Directions to “ ABIGAIL BORIS PA-C” Practice Location

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