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NPI Code Detail

MEDICARE: MR. ADAM HILL QMHP

MEDICARE: MR. ADAM HILL QMHP
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1053713891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM HILL QMHP
Provider Business Mailing Address
First Line : 5210 MAIN ST
Second Line :
City : SKOKIE
State : IL
Zip : 60077-2158
Country : US
Telephone Number : 847-425-7505
Fax Number : 847-676-8135
Provider Business Practice Location Address
First Line : 5210 MAIN ST
Second Line :
City : SKOKIE
State : IL
Zip : 60077-2158
Country : US
Telephone Number : 847-425-7505
Fax Number : 847-676-8135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2014
Last Update Date : 09/24/2014

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Directions to “ MR. ADAM HILL QMHP” Practice Location

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