Packard, Adelaide Violet

Packard, Adelaide Violet is an individual health care provider with primary practice located at 17495 La Grange Rd , Tinley Park IL 60487-7581. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Packard, Adelaide Violet can be contacted via phone (708) 226-7000.

Contact Information

Primary practice address
17495 La Grange Rd Tinley Park IL 60487-7581
Phone: (708) 226-7000
Fax: (708) 226-7173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X DR.0064015 Colorado
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-163003 Illinois

Profile Details

NPI number 1437512811
LBN Legal business name Packard, Adelaide Violet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2016
Last updated Aug 16th, 2023 - about 3 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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