Individual
DR. STEPHANIE LYNN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, PHD
Contact information
Practice address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7751
Mailing address
790 HYDE PARK AVE APT 37, BOSTON, MA 02136-2223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011296
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2018
Last updated
05/23/2019
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