Provider Demographics
NPI:1659702538
Name:DELL, ADAM B (HIS)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:B
Last Name:DELL
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 N CASS AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1591
Mailing Address - Country:US
Mailing Address - Phone:630-968-4327
Mailing Address - Fax:630-604-0100
Practice Address - Street 1:21 E OGDEN AVE STE 201
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1370
Practice Address - Country:US
Practice Address - Phone:630-968-4327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019392237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist