Papa Ndomu Adams
Individual provider Active NPI Professional Counselor · Chicago, IL
NPI 1346717345 · NPPES record last updated Oct 28, 2018
Key facts
- NPI
- 1346717345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180010814 (IL)
- Practice address
- 4305 N Lincoln Ave
Chicago, IL 60618-1807 - Phone
- (847) 712-6299
- NPI assigned
- Oct 28, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180010814 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180010814 | IL | Yes |
Addresses
Primary practice location
4305 N Lincoln Ave
Chicago, IL 60618-1807
Mailing address
1904 W Pratt Blvd Apt 2B
Chicago, IL 60626-3165
Other providers in Chicago, IL
- Madison Adams
- Molly Rae Adams
- Natasha Adams
- Ozell Adams
- Paige Adams
- Roseann Adams
- Sara Elizabeth Adams
- Sarah Jane Adams
- Sesiree Adams
- Shayna Su-Yi Adams
All providers in Chicago, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2018. 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.