Provider Demographics
NPI:1518977644
Name:MEADE, ADAM PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:PAUL
Last Name:MEADE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:6300 KINGERY HWY
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2248
Mailing Address - Country:US
Mailing Address - Phone:630-590-5670
Mailing Address - Fax:630-590-5951
Practice Address - Street 1:6300 KINGERY HWY
Practice Address - Street 2:SUITE 212
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2248
Practice Address - Country:US
Practice Address - Phone:630-590-5670
Practice Address - Fax:630-590-5951
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL038010234111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0009932423OtherBCBS IL
IL0009932423OtherBCBS IL