Active NPIIndividual providerSole proprietor

Habtamu T Abebe, APRN

Nurse Practitioner, Family in Chicago, Illinois

NPI Number1649872367
Practice location
1337 W Fargo Ave Apt 401, Chicago, IL 60626-1854
Fax
—
Last updated
March 28, 2025

Habtamu T Abebe, APRN is a Nurse Practitioner, Family based in Chicago, IL. Habtamu T Abebe, APRN holds the professional credentials of APRN. The NPI number for Habtamu T Abebe, APRN is 1649872367 and holds license No. 209.022385 (IL). The current practice location address is 1337 W Fargo Ave Apt 401, Chicago, IL 60626-1854 and the office can be reached by phone at 773-431-2992. The NPI was assigned on November 9, 2020 and the record was last updated in NPPES on March 28, 2025.

●Provider Profile Details

NPI Number
1649872367
Provider Name
Habtamu Tamiru Abebe
Credential
APRN
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Enumeration Date
November 9, 2020
Last Update Date
March 28, 2025
Certification Date
March 28, 2025
NPI Status
Active

◉Business Practice Location Address

Address
1337 W Fargo Ave Apt 401
Chicago, IL 60626-1854
ZIP
60626-1854
Country
US
Phone Number
773-431-2992

Get directions →

✉Business Mailing Address

Address
1337 W Fargo Ave Apt 401
Chicago, IL 60626-1854
City
Chicago
State
IL
ZIP
60626-1854
Phone Number
773-431-2992

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Primary Care
193400000X - Single Specialty Group
363LP2300XNo209.022385IL
Nurse Practitioner, Family363LF0000XYes209.022385IL

#Other Provider Identifiers

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

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?Frequently Asked Questions

What is the NPI number of Habtamu T Abebe, APRN?

The NPI number of Habtamu T Abebe, APRN is 1649872367. It was assigned on November 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Habtamu T Abebe, APRN?

Habtamu T Abebe, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 209.022385 (IL).

Where does Habtamu T Abebe, APRN practice?

The practice location is 1337 W Fargo Ave Apt 401, Chicago, IL 60626-1854. The office can be reached at 773-431-2992 (phone).

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 1649872367 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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