Provider Demographics
NPI:1336532043
Name:LITWIN, ADAM DAVID (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:DAVID
Last Name:LITWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7260 S SOUTH SHORE DR
Mailing Address - Street 2:SUITE 1F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-2858
Mailing Address - Country:US
Mailing Address - Phone:312-802-7014
Mailing Address - Fax:
Practice Address - Street 1:7260 S SOUTH SHORE DR
Practice Address - Street 2:SUITE 1F
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2858
Practice Address - Country:US
Practice Address - Phone:312-802-7014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-05
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program