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Organization
ADAMS ENTERPRISES OF EAST CENTRAL ILLINOIS PC
Active
Organization
ADAMS ENTERPRISES OF EAST CENTRAL ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAY LYNNE ADAMS DC (PRESIDENT)
(217) 762-8576
Entity
Organization
Contact information
Practice address
1109 N STATE ST, MONTICELLO, IL 61856-1175
(217) 762-8576
(217) 762-8578
Mailing address
PO BOX 235, MONTICELLO, IL 61856-0235
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
038-007231
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07423137
BLUE SHIELD
IL
Enumeration date
06/18/2012
Last updated
06/18/2012
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