Alyssa Adamus
Individual provider Active NPI Nurse Practitioner · Wilmette, IL
NPI 1609585140 · NPPES record last updated Nov 22, 2022
Key facts
- NPI
- 1609585140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209026046 (IL)
- Practice address
- 118 Skokie Blvd
Wilmette, IL 60091-3050 - Phone
- (773) 529-5277
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|
| 209026046 | IL | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209026046 | IL | Yes |
Addresses
Primary practice location
118 Skokie Blvd
Wilmette, IL 60091-3050
Mailing address
25220 Wheat Dr
Plainfield, IL 60585-1596
Other providers in Wilmette, IL
- Leraaen Wey Abbott
- Paula Yanez Acuna
- Rebecca Adams
- Iyabode Oladunni Adejumo
- Adina Kleiman, PHD, LTD
- Advanced Medical Professionals PC
- Advocate Health and Hospitals Corporation
- Advocate Health and Hospitals Corporation
All providers in Wilmette, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2022. 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.