Individual provider · NPI-1

Dr. Simon M Adanin, D.O.

Anesthesiology · Chicago, IL

NPI number1922241124
StatusActive
Last updated in NPPESOct 26, 2023

Details

NPI
1922241124
Entity type
Individual (NPI-1)
Name
Dr. Simon M Adanin
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2009
Certification date
Oct 26, 2023
Last updated
Oct 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology036118204ILYes
207LP2900X Anesthesiology, Pain Medicine036118204IL

Practice location

5841 S Maryland Ave
Chicago, IL 60637-1447

Phone 773-702-1000 · Fax 773-834-2218

Mailing address

5841 S Maryland Ave
Chicago, IL 60637-1447

Phone 773-702-1000 · Fax 773-834-2218

Other practice locations

1775 Dempster St
Park Ridge, IL 60068-1143

Phone 847-723-2210

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