Individual
DR. ADAM FOMINAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6301 N SHERIDAN RD APT 23K, CHICAGO, IL 60660-5701
(815) 579-6222
Mailing address
6301 N SHERIDAN RD APT 23K, CHICAGO, IL 60660-5701
(815) 579-6222
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071010432
IL
Other
Enumeration date
07/20/2020
Last updated
03/12/2023
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