Provider Demographics
NPI:1720082522
Name:ADLAKA, REBECCA C (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:C
Last Name:ADLAKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7280 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-9526
Mailing Address - Country:US
Mailing Address - Phone:219-864-9494
Mailing Address - Fax:219-864-9595
Practice Address - Street 1:7280 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-9526
Practice Address - Country:US
Practice Address - Phone:219-864-9494
Practice Address - Fax:219-864-9595
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01049570208VP0000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology