Individual
ADELAIDE VIOLET PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17495 LA GRANGE RD, TINLEY PARK, IL 60487-7581
(708) 226-7000
(708) 226-7173
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-163003
IL
207VX0000X
Obstetrics Physician
DR.0064015
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/01/2016
Last updated
08/16/2023
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