Individual
DR. ELISSA KIM ADATYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1333 BUTTERFIELD RD, STE 130, DOWNERS GROVE, IL 60515-5607
(630) 371-0133
(630) 371-0138
Mailing address
1333 BUTTERFIELD RD, STE 130, DOWNERS GROVE, IL 60515-5607
(630) 371-0133
(630) 371-0138
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036136928
IL
207R00000X
Internal Medicine Physician
048846
CT
207R00000X
Internal Medicine Physician
246976
NY
207R00000X
Internal Medicine Physician
55534
MN
208M00000X
Hospitalist Physician
048846
CT
Other
Enumeration date
08/07/2007
Last updated
01/11/2022
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