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NPI Code Detail

MEDICARE: DR. ADAM NAKER

MEDICARE: DR. ADAM NAKER
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
1183500000XPharmacist18058WI
2207Q00000XFamily Medicine Physician75767WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124403027
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM NAKER
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 262-656-7800
Fax Number :
Provider Business Practice Location Address
First Line : 7540 22ND AVE
Second Line :
City : KENOSHA
State : WI
Zip : 53143-5702
Country : US
Telephone Number : 262-656-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2015
Last Update Date : 07/11/2023

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