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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1932151966 NPPES
Illinois MEDICAID 036108430

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