Provider Demographics
NPI:1871033282
Name:ADINA, CESYL (APN)
Entity Type:Individual
Prefix:
First Name:CESYL
Middle Name:
Last Name:ADINA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 GOLF RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-4216
Mailing Address - Country:US
Mailing Address - Phone:847-962-4135
Mailing Address - Fax:
Practice Address - Street 1:2000 GOLF RD
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-4216
Practice Address - Country:US
Practice Address - Phone:847-871-1800
Practice Address - Fax:847-871-5777
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.386845163W00000X
IL209.015078363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse