Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abraham's Mark Comprehensive Wellness Center, SC

Organization Family Medicine Physician · NPI 1104857341

Abraham's Mark Comprehensive Wellness Center, SC is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

9500 S Dorchester Ave Ste 100
Chicago, IL 60628-1700
Phone: (773) 667-0768
Fax: (773) 667-5529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 036096686 (IL)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1104857341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole King — Owner · (773) 667-0768
NPI enumeratedJuly 5, 2006
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026
Mailing addressPo Box 13677, Belfast, ME 04915-4027

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