Individual
MR. THOMAS RICHARD ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1133 SOUTH BLVD STE 3, OAK PARK, IL 60302-2998
(414) 771-6780
(414) 238-2424
Mailing address
10001 W INNOVATION DR STE 200, WAUWATOSA, WI 53226-4851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007978
IL
Other
Enumeration date
04/09/2020
Last updated
05/14/2021
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