Provider Demographics
NPI:1063850097
Name:HUNLEY-ADAMS, DOROTHY M
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:M
Last Name:HUNLEY-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 1:16422 EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2349
Mailing Address - Country:US
Mailing Address - Phone:708-339-3713
Mailing Address - Fax:
Practice Address - Street 1:3249 147TH ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445-3656
Practice Address - Country:US
Practice Address - Phone:773-507-2660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490065851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical