Individual
MICHELE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1200
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1200
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000741
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279500
MEDICARE GROUP
IL
Enumeration date
03/29/2007
Last updated
10/28/2008
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