Individual
DR. SIMON M ADANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
(773) 834-2218
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-1000
(773) 834-2218
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036118204
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036118204
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036118204
STATE LICENSE
IL
Enumeration date
04/17/2009
Last updated
10/26/2023
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