Adam Randolph Travis in Chicago - Diagnostic Radiology

Adam Randolph Travis - NPI 1336300623

Adam Randolph Travis is a Diagnostic Radiology in Chicago, Illinois. Adam Randolph Travis practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Adam Randolph Travis is 1336300623. The last update date is 2013-05-06.

Adam Randolph Travis's current location address is 565 W Quincy St Unit 1613, Chicago, Illinois. You can contact this provider via phone number 5023383580. The mailing address for Adam Randolph Travis is 565 W Quincy St Unit 1613, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Adam Randolph Travis
Address 565 W Quincy St Unit 1613, Chicago, Illinois
Phone Number 5023383580
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1336300623
Provider Enumeration Date 2008-06-19
Last Updated Date 2013-05-06

Provider Mailing Address Detail

Address 565 W Quincy St Unit 1613
City Chicago
State Illinois (IL)
Post Code 606612912
Phone Number 5023383580
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 36127714
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Adam Randolph Travis

What is the unique identifier code issued to Adam Randolph Travis by the Centers for Medicare & Medicaid Services (CMS)?

The Adam Randolph Travis has been assigned the NPI (National Provider Identifier) 1336300623. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Adam Randolph Travis?

The Adam Randolph Travis is situated at 565 W Quincy St Unit 1613, in the city of Chicago, state of IL, with the zip code 606612912.

What is the Adam Randolph Travis's specialty and taxonomy code?

The Adam Randolph Travis's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services assign the 1336300623 to Adam Randolph Travis?

The Centers for Medicare & Medicaid Services assigned the 1336300623 to Adam Randolph Travis on 2008-06-19.

When was the information regarding Adam Randolph Travis, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Adam Randolph Travis, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-05-06.

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