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Individual

DR. JAMES RUSSELL ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
840 N 5TH AVE, KANKAKEE, IL 60901-2212
(815) 383-3866
Mailing address
840 N 5TH AVE, KANKAKEE, IL 60901-2212
(815) 383-3866

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-003809
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046 82101
BLUE CROSS BLUE SHIELD
IL
01
350029131
RAILROAD MEDICARE
IL
Enumeration date
04/21/2006
Last updated
03/26/2009
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