Provider Demographics
NPI:1528584992
Name:ABRAMS, MARGO (PSYD)
Entity Type:Individual
Prefix:
First Name:MARGO
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MARGO
Other - Middle Name:EMILY
Other - Last Name:TELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 N RUSH ST APT 2101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2583
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2801 N SHEFFIELD AVE # 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5003
Practice Address - Country:US
Practice Address - Phone:773-281-8130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist