Individual provider · NPI-1
Rebecca Abraham, PA-C
Physician Assistant · Chicago, IL
NPI number1902397078
StatusActive
Last updated in NPPESMar 19, 2026
Details
- NPI
- 1902397078
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rebecca Abraham
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2018
- Certification date
- Mar 19, 2026
- Last updated
- Mar 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085006649 | IL | Yes |
| 208M00000X | Hospitalist | 085006649 | IL | |
| 363AM0700X | Physician Assistant, Medical | – | IL |
Practice location
5145 N California Ave Ofc M331Chicago, IL 60625
Phone 773-878-8200
Mailing address
5145 N California Ave Ofc M331Chicago, IL 60625-3687
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