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

Dr. Abrahan Lara-Pacheco, MD

Individual provider Family Medicine Physician · NPI 1639799109

Dr. Abrahan Lara-Pacheco, MD is a General Practice in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
6
Licensed in
CA, IL
In the registry since
2020
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave Ste MC6098
Chicago, IL 60637-1448
Phone: (855) 702-8222
Fax: (773) 753-0552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 — (773) 702-1150

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 036.164104 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence A176759 (CA)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence 036.164104 (IL)
General Practice Physician Taxonomy 208D00000X · Licence A176759 (CA)

Record details

NPI number1639799109
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2020
Last updated in NPPESOctober 15, 2024
Certification dateJuly 3, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Also practisesHOSPICE/PALLIATIVE CARE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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