Stephen Adams, MD

Individual provider Active NPI Sports Medicine (Internal Medicine) Physician · Chicago, IL

NPI 1922157635 · NPPES record last updated Jun 19, 2009

Key facts

NPI: 1922157635
Entity type: Individual (NPI type 1)
Primary specialty: Sports Medicine (Internal Medicine) Physician 207RS0010X
License: 036058866 (IL)
Practice address: 259 E Erie St # 100
Chicago, IL 60611-2930
Phone: (312) 695-9797
Fax: (312) 694-6274
NPI assigned: Jan 10, 2007
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Central Dupage Physician Group Family Medicine Physician · Carol Stream, IL · NPI 1033149844

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
036058866	IL	MD	Sports Medicine (Internal Medicine) Physician

Practice roles

Organization	Specialty	Status	New patients
Central Dupage Physician Group		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Sports Medicine (Internal Medicine) Physician	207RS0010X	036058866	IL	Yes

Addresses

Primary practice location

259 E Erie St # 100
Chicago, IL 60611-2930

Mailing address

680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546
Phone (312) 695-9797

Other identifiers

Identifier	Type	State	Issuer
036058866	Medicaid	IL

Other providers in Chicago, IL

Sesiree Adams, LCSW
Shayna Su-Yi Adams, MD
Stephanie Adams
Stephanie Kathryn Adams, MA, LCPC, LPC-MHSP
Stephanie Lynn Adams, OD, PHD
Tenisia Adams
Tyler Adams
Wid Adams, DDS
Alexis Adamsick, DNP, APRN, FNP-C
Susan M Adamson, R.D.

All providers in Chicago, IL · Sports Medicine (Internal Medicine) Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2009. 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.

Verify at the official NPI Registry.