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General NPI Number Information
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NPI Number | 1417187717
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Entity Type | Organization
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Legal Business Name | ADAM & ASSOCIATES PSYCHOTHERAPY SERVICES, INC.
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 2550 CRAWFORD AVE SUITE 12
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City | EVANSTON
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State | IL
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Zip | 60201-4900
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Country | US
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Telephone | 847-729-5906
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Fax |
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Provider Business Mailing Address
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Address Line | 706 WAUKEGAN RD SUITE 206-C
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City | GLENVIEW
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State | IL
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Zip | 60025-4368
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Country | US
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Telephone | 847-729-5906
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAJMA MOHAMED ADAM
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Credential | PH.D., L.C.S.W.
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Telephone | 847-729-5906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 149013099
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License Number State | IL
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