Individual
LISA Y. ABRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 WAUKEGAN RD STE B, DEERFIELD, IL 60015-5655
(847) 945-4575
(847) 945-4593
Mailing address
2650 RIDGE AVE, EVANSTON HOSPITAL, EVANSTON, IL 60201-1718
(847) 570-1206
(847) 570-1248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-084304
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084304
—
IL
01
—
110218847
RAILROAD MEDICARE
IL
01
—
1620385
BLUE SHIELD
IL
Enumeration date
12/06/2006
Last updated
10/06/2020
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