Individual
JAMIN KWEKU ADDAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 691-4005
Mailing address
124 SW ADAMS ST, PEORIA, IL 61602-1308
(309) 691-4005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2182
MD
Other
Enumeration date
04/05/2016
Last updated
09/25/2023
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