Provider Demographics
NPI:1649266503
Name:TREITMAN, ADAM N (MD)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:N
Last Name:TREITMAN
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 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:847-390-5900
Mailing Address - Fax:
Practice Address - Street 1:4440 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2600
Practice Address - Country:US
Practice Address - Phone:708-684-5674
Practice Address - Fax:708-684-2500
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036107486207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00144359OtherRAILROAD MEDICARE
IL036107486Medicaid
IL160604OtherADVOCATE HLTH PARTNERS ID
IL2160749230OtherBCBS PROVIDER ID
ILK07553Medicare PIN
ILK07554Medicare PIN