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NPI 1821541582

NPI 1821541582 : ADAM SPURLOCK DNP, APN, AGACNP-BC : OAK PARK, IL

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General NPI Number Information
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    NPI Number           |    1821541582
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM SPURLOCK DNP, APN, AGACNP-BC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/29/2016
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    520 S MAPLE AVE EMERGENCY DEPARTMENT
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    City                 |    OAK PARK
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    State                |    IL
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    Zip                  |    60304-1022
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    Country              |    US
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    Telephone            |    708-660-6000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2650 RIDGE AVE STE 1223 
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    City                 |    EVANSTON
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    State                |    IL
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    Zip                  |    60201-1700
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    Country              |    US
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    Telephone            |    847-570-2040
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    Fax                  |    847-733-5315
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    209014362
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    209014362
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    License Number State |    IL
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