Provider Demographics
NPI:1346362837
Name:PATRICK G. ADKINS
Entity Type:Organization
Organization Name:PATRICK G. ADKINS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-827-0666
Mailing Address - Street 1:926 LEE STREET
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-5316
Mailing Address - Country:US
Mailing Address - Phone:847-827-0666
Mailing Address - Fax:847-827-6247
Practice Address - Street 1:926 LEE ST
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6570
Practice Address - Country:US
Practice Address - Phone:847-827-0666
Practice Address - Fax:847-827-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL753100OtherADVOCATE
IL0001670211OtherBCBSIL
IL1346362837Medicaid
IL1346362837Medicaid