Provider Demographics
NPI:1003345588
Name:LAM, ADAM (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 S MICHIGAN AVE APT 1106
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-3719
Mailing Address - Country:US
Mailing Address - Phone:334-354-7595
Mailing Address - Fax:
Practice Address - Street 1:5841 S MARYLAND AVE # MC6040
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-1000
Practice Address - Fax:773-702-2140
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125070927208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery