Adley, Brian
Adley, Brian is an individual health care provider with primary practice located at 680 N Lake Shore Dr Suite 1000, Chicago IL 60611-4546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Adley, Brian can be contacted via phone (312) 695-9797.Contact Information
Primary practice address
680 N Lake Shore Dr Suite 1000
Chicago IL 60611-4546
Phone: (312) 695-9797
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 036108430 | Illinois |
Profile Details
NPI number | 1932151966 |
---|---|
LBN Legal business name | Adley, Brian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Dec 9th, 2021 - 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 | 1932151966 | NPPES |
Illinois | MEDICAID | 036108430 |
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