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NPI Code Detail

MEDICARE: ADAM MOHR

MEDICARE: ADAM MOHR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038.013278IL

General Provider Information

NPI Number : 1699243675
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM MOHR
Provider Business Mailing Address
First Line : 20 N CANNONBALL TRL
Second Line :
City : BRISTOL
State : IL
Zip : 60512-9770
Country : US
Telephone Number : 630-551-6440
Fax Number :
Provider Business Practice Location Address
First Line : 225 W HUBBARD ST STE 302
Second Line :
City : CHICAGO
State : IL
Zip : 60654-4916
Country : US
Telephone Number : 773-906-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2018
Last Update Date : 11/07/2018

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Directions to “ ADAM MOHR ” Practice Location

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