Individual
MERCHANT ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.N.
Contact information
Practice address
1875 DEMPSTER ST STE 180, PARK RIDGE, IL 60068-1144
(847) 897-9010
Mailing address
532 S VINE AVE, PARK RIDGE, IL 60068-4148
(773) 896-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209014036
IL
Other
Enumeration date
03/10/2016
Last updated
10/30/2023
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