Provider Demographics
NPI:1043479405
Name:ABBOTT, SABRA MARGARET (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SABRA
Middle Name:MARGARET
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N LAKE SHORE DR
Mailing Address - Street 2:ABBOTT HALL, 5TH FLOOR, SUITE 500
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3006
Mailing Address - Country:US
Mailing Address - Phone:312-695-7950
Mailing Address - Fax:
Practice Address - Street 1:676 N SAINT CLAIR ST STE 7-701
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2927
Practice Address - Country:US
Practice Address - Phone:312-695-7950
Practice Address - Fax:312-926-4771
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361304002084S0012X, 2084S0012X
MA236014390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program