Provider Demographics
NPI:1477793792
Name:WELDZIUS, ADAM JOSEPH (ACNP-BC)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:JOSEPH
Last Name:WELDZIUS
Suffix:
Gender:M
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15614 S HARLEM AVE STE C
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4401
Mailing Address - Country:US
Mailing Address - Phone:708-866-5900
Mailing Address - Fax:708-866-5903
Practice Address - Street 1:15614 S HARLEM AVE STE C
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-4401
Practice Address - Country:US
Practice Address - Phone:708-866-5900
Practice Address - Fax:708-866-5903
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277000313363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care