Provider Demographics
NPI:1225019417
Name:ADAMS, CRAIG H (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:H
Last Name:ADAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E OGDEN AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5554
Mailing Address - Country:US
Mailing Address - Phone:866-871-5737
Mailing Address - Fax:630-522-0843
Practice Address - Street 1:11900 SOUTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1200
Practice Address - Country:US
Practice Address - Phone:708-274-4900
Practice Address - Fax:708-274-4949
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036053828207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00286880OtherMEDICARE RAILROAD
IL036053828Medicaid
ILP00286880OtherMEDICARE RAILROAD
ILD14212Medicare UPIN