ADAM BLACK

CHICAGO, IL
NPI1851313241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036097245)
Enumeration Date2006-07-24
Last Update Date2007-07-08
Business Address
-- ADAM BLACK MD
1431 N CLAREMONT AVE
CHICAGO, IL 60622-1702
Phone number: 773-278-2000
Mailing Address
-- ADAM BLACK MD
PO BOX 5940 DEPT. 20-DIV001
CAROL STREAM, IL 60197-5940
Phone number: 630-734-0200
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DIVERSFIED EMERGENCY SERVICES, LLC