HomeNPI Verification

NPI Verification

National Provider Identifier: 1104857341

Abraham's Mark Comprehensive Wellness Center, Sc

Organization

Primary Specialty

Clinic/Center, Primary Care

Code: 261QP2300X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Clinic/Center, Primary Care

Code: 261QP2300X

Primary

Practice Address

9500 S DORCHESTER AVE

STE 100

CHICAGO, IL 606281700

Phone: 773-667-0768

NPI Enumeration Date

July 5, 2006

NPI Number

1104857341

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry