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Contact Information

JAMIN K ADDAE, MD
124 SW ADAMS ST
PEORIA, IL61602-1308
 Phone: 309-691-4005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMIN K ADDAE · (Male)

NPI # 1376906446
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2016
Last updated 09/25/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 2182
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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