Adams, Stephen

Adams, Stephen is an individual health care provider with primary practice located at 259 E Erie St # 100 , Chicago IL 60611-2930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Adams, Stephen can be contacted via phone (312) 695-9797.

Contact Information

Primary practice address
259 E Erie St # 100 Chicago IL 60611-2930
Phone: (312) 695-9797
Fax: (312) 694-6274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 036058866 Illinois

Profile Details

NPI number 1922157635
LBN Legal business name Adams, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 19th, 2009 - about 15 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 1922157635 NPPES
Illinois MEDICAID 036058866

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