NPI 1063657260 · live from the CMS NPI Registry
Samuel M Abraham, LCSW
Social Worker, Clinical in North Chicago, IL. National Provider Identifier 1063657260, active.
NPI record
| NPI | 1063657260 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3001 Green Bay Rd, Bldg 131, Room 132, North Chicago, IL 60064 |
| Practice phone | 224-610-5833 |
| Mailing address | 3001 Green Bay Rd Rm 132, North Chicago, IL 60064 |
| Enumerated | December 3, 2008 |
| Last updated | September 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 149-007189 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.