MEDICARE: ANDREW ADKINS LSW

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	104100000X	Social Worker	150.117239	IL

General Provider Information

NPI Number	:	1225914344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW ADKINS LSW

Provider Business Mailing Address
First Line	:	3610 W DIVERSEY AVE FL 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-1126
Country	:	US
Telephone Number	:	224-330-7474
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 N MILWAUKEE AVE STE 202
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-2156
Country	:	US
Telephone Number	:	773-809-4920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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