Adams, Mary Abby

Adams, Mary Abby is an individual health care provider with primary practice located at 2650 Ridge Ave Division Of Neonatology, Walgreen Bldg Rm 1505, Evanston IL 60201-1718. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Adams, Mary Abby can be contacted via phone (847) 570-2033.

Contact Information

Primary practice address
2650 Ridge Ave Division Of Neonatology, Walgreen Bldg Rm 1505 Evanston IL 60201-1718
Phone: (847) 570-2033
Fax: (847) 570-0231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036054765 Illinois
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036054765 Illinois

Profile Details

NPI number 1134201205
LBN Legal business name Adams, Mary Abby
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 2nd, 2008 - about 18 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 1134201205 NPPES
Illinois Other 1620385 BLUE SHIELD
Illinois MEDICAID 036054765 BLUE SHIELD

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