MEDICARE: ADRIENNE ADAMS MD AND ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center		IL

General Provider Information

NPI Number	:	1003939828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADRIENNE ADAMS MD AND ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	572 BARCLAY DR
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-6109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1979 N MILL ST
Second Line	:	SUITE 202
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1200
Country	:	US
Telephone Number	:	630-420-7660
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADRIENNE ADAMS
Credential	:	MD
Telephone Number	:	630-420-7660

Provider Enumeration Date	:	04/08/2007
Last Update Date	:	08/22/2020

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