Adams, James Russell

Adams, James Russell is an individual health care provider with primary practice located at 840 N 5Th Ave , Kankakee IL 60901-2212. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Adams, James Russell can be contacted via phone (815) 383-3866.

Contact Information

Primary practice address
840 N 5Th Ave Kankakee IL 60901-2212
Phone: (815) 383-3866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-003809 Illinois

Profile Details

NPI number 1033175740
LBN Legal business name Adams, James Russell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Mar 26th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033175740 NPPES
Illinois Other 046 82101 BLUE CROSS BLUE SHIELD
Illinois Other 350029131 BLUE CROSS BLUE SHIELD

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