Provider Demographics
NPI:1245457993
Name:ABRAMSON, JUDITH GAIL (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:GAIL
Last Name:ABRAMSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:676 N SAINT CLAIR ST STE 850
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3124
Mailing Address - Country:US
Mailing Address - Phone:312-695-1964
Mailing Address - Fax:312-695-6189
Practice Address - Street 1:250 E SUPERIOR ST STE 420
Practice Address - Street 2:MAGGIE DALY CTR FOR WOMEN'S CANCER CARE PRENTICE HOSP
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-695-1964
Practice Address - Fax:312-695-6189
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2012-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036077014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF50089Medicare UPIN