Provider Demographics
NPI:1356536502
Name:ABRAMS, TRUDY DOLNICK (LCSW)
Entity type:Individual
Prefix:MS
First Name:TRUDY
Middle Name:DOLNICK
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E ONTARIO ST
Mailing Address - Street 2:3303B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4804
Mailing Address - Country:US
Mailing Address - Phone:847-480-0010
Mailing Address - Fax:219-879-8571
Practice Address - Street 1:333 E ONTARIO ST
Practice Address - Street 2:3303B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4804
Practice Address - Country:US
Practice Address - Phone:847-480-0010
Practice Address - Fax:219-879-8571
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical