Individual provider · Type 1 NPI

Adam James Mayberry, PA

Medical Physician Assistant · Chicago, IL

NPI number 1902437296 Active

Practice location

1500 S Fairfield Ave
Chicago, IL 60608-1782

Mailing address

3051 W Lyndale St
Chicago, IL 60647-2811

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085007405 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1902437296

Adam James Mayberry, PA's National Provider Identifier is 1902437296, issued on Jan 27, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 27, 2020.