Fonseca, Adam

Fonseca, Adam is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Fonseca, Adam can be contacted via phone (708) 216-5204.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-5204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Louisiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036.152613 Illinois

Profile Details

NPI number 1285053546
LBN Legal business name Fonseca, Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Jun 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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