Provider Demographics
NPI:1033360110
Name:ADAMSKI, PATRICIA M (PA-C)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:M
Last Name:ADAMSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 CURRENCY CT
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE
Mailing Address - State:IL
Mailing Address - Zip Code:61068-2321
Mailing Address - Country:US
Mailing Address - Phone:815-561-8500
Mailing Address - Fax:815-561-8501
Practice Address - Street 1:1212 CURRENCY COURT
Practice Address - Street 2:
Practice Address - City:ROCHELLE
Practice Address - State:IL
Practice Address - Zip Code:61068-2321
Practice Address - Country:US
Practice Address - Phone:815-561-8500
Practice Address - Fax:815-561-8501
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085-003319363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant