ADAM ANDERSEN PT
NPI 1477733095
Specialist in Chicago, IL

Active since November 12, 2007
100 E WALTON STREET, SUITE 700, CHICAGO, IL 60611(312) 642-3963(312) 642-3966 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Adam Andersen Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM ANDERSEN PT (NPI 1477733095) is an individual specialist in Chicago, Illinois, licensed in Illinois (07013087) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1477733095
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameADAM ANDERSENCredential: PT
Location Address100 E WALTON STREET, SUITE 700Chicago, IL 60611-1448
Mailing AddressPo Box 207Worth, IL 60482-0207 · (708) 403-1155 · Fax (708) 403-1177
Fax(312) 642-3966
Sole ProprietorNo
Enumeration DateNovember 12, 2007
Last NPPES UpdateMarch 17, 2008
NPI 1477733095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 07013087
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

100 E WALTON STREET, Chicago, IL 60611

Other Identifiers 1

Medicare PINK49421IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Andersen's NPI number?

The NPI number for Adam Andersen is 1477733095. It was assigned to this individual provider in the NPPES registry on November 12, 2007.

Where is Adam Andersen located?

Adam Andersen practices at 100 E Walton Street Suite 700, Chicago, IL 60611. The listed phone number is (312) 642-3963.

What is Adam Andersen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Adam Andersen was last updated on March 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.