Individual
DR. MARC ALLAN ADAJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 N SHERIDAN ROAD, SUITE 714, SUITE 714, CHICAGO, IL 60657-6065
(773) 561-7911
Mailing address
1835 W FARRAGUT AVE, CHICAGO, IL 60640-1009
(847) 858-6432
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36114923
IL
2086S0102X
Surgical Critical Care Physician
36114923
IL
2086S0127X
Trauma Surgery Physician
36114923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K38772
—
IL
Enumeration date
10/18/2006
Last updated
04/23/2020
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