Janell Adams, ST

Individual provider Active NPI Surgical Technologist · Normal, IL

NPI 1770816670 · NPPES record last updated Sep 9, 2009

Key facts

NPI
1770816670
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Technologist 246ZS0410X
Practice address
1604 Visa Dr
Suite # 1
Normal, IL 61761-2195
Phone
(309) 846-4716
Fax
(309) 454-1107
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X Yes

Addresses

Primary practice location

1604 Visa Dr
Suite # 1
Normal, IL 61761-2195

Mailing address

1604 Visa Dr
Suite # 1
Normal, IL 61761-2195
Phone (309) 846-4716

Other providers in Normal, IL

All providers in Normal, IL · Surgical Technologist in Illinois

Sources for this page

Verify at the official NPI Registry.