Anwar Adams, OT
Individual provider Active NPI Occupational Therapist · Forest Park, IL
NPI 1174857262 · NPPES record last updated Aug 8, 2019
Key facts
- NPI
- 1174857262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 056012069 (IL)
- Practice address
- 1029 Des Plaines Ave Apt 601
Forest Park, IL 60130 - Phone
- (847) 630-8640
- NPI assigned
- Sep 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2057193 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2057193 | IL | |
| Occupational Therapist | 225X00000X | 056012069 | IL | Yes |
Addresses
Primary practice location
1029 Des Plaines Ave Apt 601
Forest Park, IL 60130
Mailing address
4101 S Michigan Ave Apt 305
Chicago, IL 60653-2144
Phone (847) 630-8640
Other practice location 1
1405 Holland
Houston, TX 77029
Phone (888) 429-2875
Other providers in Forest Park, IL
- Annie Acamovic
- Advanced Dermatology Center, S.C.
- Advanced Psychiatric Services SC
- Advanced Urology Center, S.C.
- Aeries Healthcare of Illinois Physician Group
- Samantha Kelsey Agins
All providers in Forest Park, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.