Adajar, Marc Allan
Adajar, Marc Allan is an sole proprietor health care provider with primary practice located at 2845 N Sheridan Road, Suite 714 Suite 714, Chicago IL 60657-6065. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Adajar, Marc Allan can be contacted via phone (773) 561-7911.Contact Information
Primary practice address
2845 N Sheridan Road, Suite 714 Suite 714
Chicago IL 60657-6065
Phone: (773) 561-7911
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 36114923 | Illinois |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 36114923 | Illinois |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 36114923 | Illinois |
Profile Details
NPI number | 1508947383 |
---|---|
LBN Legal business name | Adajar, Marc Allan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 18th, 2006 |
Last updated | Apr 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508947383 | NPPES |
Illinois | MEDICAID | K38772 |
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