Healthcare Provider Details

I. General information

NPI: 1225019417
Provider Name (Legal Business Name): CRAIG H ADAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 07/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 SOUTHWEST HWY
PALOS PARK IL
60464-1200
US

IV. Provider business mailing address

700 E OGDEN AVE STE 304
WESTMONT IL
60559-5554
US

V. Phone/Fax

Practice location:
  • Phone: 708-274-4900
  • Fax: 708-274-4949
Mailing address:
  • Phone: 866-871-5737
  • Fax: 630-522-0843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036053828
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036053828
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: