Doctor Name: | MR. PATRICK ADAMS |
NPI Number: | 1215324793 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 14206 Davis Ct Blue Island, IL - 604063517 |
Business Phone Number: | 7085169666 |
Business Fax Number: | |
Mailing Address: | 14206 Davis Ct, BLUE ISLAND |
State: | IL |
Postal Code: | 604063517 |
Phone Number: | 7085169666 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 04/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |