Individual
JEFFREY L. ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209005185
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0841504038
BCBS OF ILLINOIS
IL
01
—
104409
HEALTHLINK GROUP NUMBER
IL
01
—
209-005185
IL APN LICENSE #
IL
05
—
41298313
—
IL
01
—
695055
HEALTHLINK INDIVIDUAL #
IL
01
—
71328
AANA#
IL
Enumeration date
10/12/2005
Last updated
02/03/2023
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