Basic Information
| Provider Information | |||||||||
| NPI: | 1306002993 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ADAMS | ||||||||
| FirstName: | ABIGAIL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 611 W PARK ST | ||||||||
| Address2: | BWPC | ||||||||
| City: | URBANA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 618012500 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2173836792 | ||||||||
| FaxNumber: | 2173834752 | ||||||||
| Practice Location | |||||||||
| Address1: | 1701 W. CURTIS ROAD | ||||||||
| Address2: | |||||||||
| City: | CAMPAIGN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 618229678 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2173656201 | ||||||||
| FaxNumber: | 2173264003 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/02/2008 | ||||||||
| LastUpdateDate: | 12/30/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 125.054861 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 125.054861 | IL | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.