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General NPI Number Information
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NPI Number | 1003939828
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Entity Type | Organization
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Legal Business Name | ADRIENNE ADAMS MD AND ASSOCIATES, INC
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1979 N MILL ST SUITE 202
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City | NAPERVILLE
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State | IL
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Zip | 60563-1200
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Country | US
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Telephone | 630-420-7660
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Fax |
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Provider Business Mailing Address
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Address Line | 572 BARCLAY DR
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City | BOLINGBROOK
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State | IL
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Zip | 60440-6109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADRIENNE ADAMS
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Credential | MD
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Telephone | 630-420-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | IL
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