Provider Demographics
NPI:1144297607
Name:ADAMICK, CHRISTINE M (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:ADAMICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6601 COLLEGE BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1504
Mailing Address - Country:US
Mailing Address - Phone:913-359-6019
Mailing Address - Fax:330-923-3502
Practice Address - Street 1:190 N UNION ST
Practice Address - Street 2:STE 203
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1362
Practice Address - Country:US
Practice Address - Phone:330-923-3502
Practice Address - Fax:330-928-9761
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2023-11-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35082013A207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2383513Medicaid
OH2383513Medicaid