Individual
JESSE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3703 W LAKE AVE, SUITE 200, GLENVIEW, IL 60026-1223
(847) 998-1188
Mailing address
1969 AMBER WAY, BOURBONNAIS, IL 60914-5084
(815) 304-4947
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006836
IL
Other
Enumeration date
10/30/2014
Last updated
11/04/2014
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