Individual provider · NPI-1

Megan Mazak Adams

Internal Medicine · Evanston, IL

NPI number1245033414
StatusActive
Last updated in NPPESJun 15, 2025

Details

NPI
1245033414
Entity type
Individual (NPI-1)
Name
Megan Mazak Adams
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 31, 2025
Certification date
Jun 15, 2025
Last updated
Jun 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine125.086692ILYes

Practice location

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1700

Phone 847-570-2700 · Fax 847-570-2822

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-6686

Phone 773-702-1150

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