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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