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Individual

MR. ADAM M PETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
676 N. ST CLAIR, SUITE 2100, CHICAGO, IL 60611
(312) 695-6180
(312) 695-4770
Mailing address
676 N. ST CLAIR, SUITE 850, CHICAGO, IL 60611
(312) 695-6180
(312) 695-4770

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1567
WI
207RH0003X
Hematology & Oncology Physician
Primary
036.128178
IL
207RX0202X
Medical Oncology Physician
036.128178
IL
207RX0202X
Medical Oncology Physician
036128178
IL
207RX0202X
Medical Oncology Physician
336.089386
IL

Other

Enumeration date
06/13/2006
Last updated
02/04/2014
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