Provider Demographics
NPI:1417187717
Name:ADAM & ASSOCIATES PSYCHOTHERAPY SERVICES, INC.
Entity Type:Organization
Organization Name:ADAM & ASSOCIATES PSYCHOTHERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAJMA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ADAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:847-729-5906
Mailing Address - Street 1:706 WAUKEGAN RD
Mailing Address - Street 2:SUITE 206-C
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-4368
Mailing Address - Country:US
Mailing Address - Phone:847-729-5906
Mailing Address - Fax:
Practice Address - Street 1:2550 CRAWFORD AVE
Practice Address - Street 2:SUITE 12
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-4900
Practice Address - Country:US
Practice Address - Phone:847-729-5906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149013099273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit