Active NPIIndividual providerSole proprietor

Abigail Drake, PA-C

Physician Assistant in Skokie, Illinois

NPI Number1053620443
Practice location
4250 Dempster St, Skokie, IL 60076-2008
Fax
847-763-8851
Last updated
October 2, 2010

Abigail Drake is a Physician Assistant based in Skokie, IL. Abigail Drake practices in Skokie, IL and has the professional credentials of PA-C. The NPI Number for Abigail Drake is 1053620443 and holds a License No. 085002790 (IL). The current practice location address for Abigail Drake is 4250 Dempster St, Skokie, IL 60076-2008 and can be reached out via phone at 847-763-8850 and via fax at 847-763-8851.

Provider Profile Details

NPI Number
1053620443
Provider Name
Abigail Drake
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4250 Dempster St, Skokie, IL 60076-2008
Phone Number
847-763-8850
Fax Number
847-763-8851
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2010
Last Update Date
October 2, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
4250 Dempster St
Skokie, IL 60076-2008
City
Skokie
Zip
60076-2008
Phone Number
847-763-8850
Fax Number
847-763-8851
Skokie, IL 60076Get directions →

Provider Business Mailing Address Details

Address
1030 School RD
Cambridge, VT 05444-9520
City
Cambridge
State
VT
Zip
05444-9520
Phone Number
720-202-5530

License Information

License Number (1)
085002790
License State (1)
IL
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
3063
License State (2)
CO
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Skokie, IL

View all Physician Assistants in Skokie →

Frequently Asked Questions

What is the NPI number of Abigail Drake, PA-C?

The NPI number of Abigail Drake, PA-C is 1053620443. It was assigned on October 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Abigail Drake, PA-C?

Abigail Drake, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in IL under license number 085002790.

Where does Abigail Drake, PA-C practice?

The practice location is 4250 Dempster St, Skokie, IL 60076-2008. The office can be reached at 847-763-8850 (phone) or 847-763-8851 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053620443 directly on the NPPES registry website.

Browse related providers