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General NPI Number Information
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NPI Number | 1790712347
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Entity Type | Individual
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Provider Name | GREGORY P ADAMO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | 800 BIESTERFIELD RD
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3311
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Country | US
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Telephone | 847-437-5500
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Fax | 847-952-7912
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Provider Business Mailing Address
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Address Line | 8420 W 119TH PL
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City | PALOS PARK
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State | IL
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Zip | 60464-3104
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Country | US
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Telephone | 708-528-2326
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036-053912
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License Number State | IL
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