Individual
MR. ANWAR ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1029 DES PLAINES AVE APT 601, FOREST PARK, IL 60130
(847) 630-8640
Mailing address
4101 S MICHIGAN AVE APT 305, CHICAGO, IL 60653-2144
(847) 630-8640
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2057193
IL
225X00000X
Occupational Therapist
Primary
056012069
IL
Other
Enumeration date
09/23/2009
Last updated
08/08/2019
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