Individual provider · NPI-1

Merchant Adams, A.P.N.

Nurse Practitioner, Primary Care · Park Ridge, IL

NPI number1891156444
StatusActive
Last updated in NPPESOct 30, 2023

Details

NPI
1891156444
Entity type
Individual (NPI-1)
Name
Merchant Adams
Credential
A.P.N.
Sex
Male
Sole proprietor
No
Enumeration date
Mar 10, 2016
Certification date
Oct 30, 2023
Last updated
Oct 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care209014036ILYes

Practice location

1875 Dempster St Ste 180
Park Ridge, IL 60068-1144

Phone 847-897-9010

Mailing address

532 S Vine Ave
Park Ridge, IL 60068-4148

Phone 773-896-4000

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