Individual
SARAH ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603-3168
(309) 676-8123
(309) 676-8455
Mailing address
420 NE GLEN OAK AVE, STE 401, PEORIA, IL 61603-3168
(309) 676-8123
(309) 676-8455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012965
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209012965
—
IL
01
—
309008621
CONTROLLED SUBSTANCE
IL
Enumeration date
08/03/2015
Last updated
10/29/2018
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