Provider Demographics
NPI:1063645810
Name:ADAMS, CHERIE MONIQUE
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:MONIQUE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 KEDZIE ST
Mailing Address - Street 2:FLOOR 1
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2306
Mailing Address - Country:US
Mailing Address - Phone:224-565-4506
Mailing Address - Fax:847-864-0958
Practice Address - Street 1:510 KEDZIE ST
Practice Address - Street 2:FLOOR 1
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-2306
Practice Address - Country:US
Practice Address - Phone:224-565-4506
Practice Address - Fax:847-864-0958
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No251S00000XAgenciesCommunity/Behavioral Health