Abraham'S Mark Comprehensive Wellness Center, Sc
NPI 1104857341 · Primary Care Clinic/Center · Chicago, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Abraham'S Mark Comprehensive Wellness Center, Sc is a Primary Care Clinic/Center organization in Chicago, IL (NPI 1104857341).
Provider details
- NPI number
- 1104857341
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole King, Owner(773) 667-0768
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2026-03-29
- Certified
- 2026-03-29
Frequently asked questions
- What is Abraham'S Mark Comprehensive Wellness Center, Sc's NPI number?
- Abraham'S Mark Comprehensive Wellness Center, Sc's National Provider Identifier (NPI) is 1104857341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abraham'S Mark Comprehensive Wellness Center, Sc?
- Abraham'S Mark Comprehensive Wellness Center, Sc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Abraham'S Mark Comprehensive Wellness Center, Sc located?
- Abraham'S Mark Comprehensive Wellness Center, Sc's practice location on file with NPPES is 9500 S Dorchester Ave, Chicago, IL 60628-1700.
- What is Abraham'S Mark Comprehensive Wellness Center, Sc's phone number?
- The practice phone number listed in the NPPES registry for Abraham'S Mark Comprehensive Wellness Center, Sc is (773) 667-0768.
- Does Abraham'S Mark Comprehensive Wellness Center, Sc accept Medicare?
- Abraham'S Mark Comprehensive Wellness Center, Sc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Abraham'S Mark Comprehensive Wellness Center, Sc?
- The authorized official listed on Abraham'S Mark Comprehensive Wellness Center, Sc's NPPES record is Nicole King, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abraham'S Mark Comprehensive Wellness Center, Sc's NPI active?
- Yes — Abraham'S Mark Comprehensive Wellness Center, Sc's NPI (1104857341) is active in the NPPES registry as of the last update on 2026-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.