Individual
STEPHEN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST # 100, CHICAGO, IL 60611-2930
(312) 695-9797
(312) 694-6274
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-9797
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
036058866
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058866
—
IL
Enumeration date
01/10/2007
Last updated
06/19/2009
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