Provider Demographics
NPI:1578661781
Name:ADAMS, ADRIENNE L (MD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:L
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1720 W POLK ST
Mailing Address - Street 2:MFIV- CHILD PSYCHIATRY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4328
Mailing Address - Country:US
Mailing Address - Phone:312-942-6673
Mailing Address - Fax:312-942-3186
Practice Address - Street 1:1720 W POLK ST
Practice Address - Street 2:MFIV- CHILD PSYCHIATRY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4328
Practice Address - Country:US
Practice Address - Phone:312-942-6673
Practice Address - Fax:312-942-3186
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry