Provider Demographics
NPI:1134411069
Name:RHODES, ADAM D (DO)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:D
Last Name:RHODES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 W MONROE ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-2420
Mailing Address - Country:US
Mailing Address - Phone:312-733-9730
Mailing Address - Fax:773-866-8014
Practice Address - Street 1:3551 BELMONT AVE STE 19B
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1439
Practice Address - Country:US
Practice Address - Phone:330-222-4030
Practice Address - Fax:330-230-7498
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT014001207Q00000X
OH011294207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine