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Individual Provider

STEFANIE ABBOTT

NPI 1861137457 Active Family Medicine
Quick Facts
NPI Number
1861137457
Type
Individual (NPI-1)
Status
Active
Enumeration Date
2022-04-28
Last Updated (NPPES)
2025-08-27

Primary Specialty / Taxonomy

TaxonomyFamily Medicine
Taxonomy Code207Q00000X
License036176581 IL

Other Taxonomies

  • Family Medicine — License OS024051
  • Family Medicine — License OT021960

Practice Address

2160 S 1ST AVE
MAYWOOD, IL 601533328

Phone: 708-216-9000

Mailing Address

50 SWEET MEADOW DR
WARWICK, RI 028894411

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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