Nolan Jesse Adams
Ophthalmology in Maywood, IL. Individual provider (NPI-1).
NPI number1124581780
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1124581780
- Entity type
- Individual (NPI-1)
- Name
- Nolan Jesse Adams
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2019
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | MD2023-0405 | NM | Yes |
| 207W00000X | Ophthalmology | MD2023-0282 | NM | |
| 207W00000X | Ophthalmology | 125.074274 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 888-584-7888
Mailing address
2160 S 1st AveMaywood, IL 60153-3328
Other practice locations
7435 W Talcott Ave
Chicago, IL 60631-3707
Chicago, IL 60631-3707
Phone 773-990-5261
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