Provider Demographics
NPI:1093555021
Name:ADABA, KADIRI A
Entity type:Individual
Prefix:
First Name:KADIRI
Middle Name:A
Last Name:ADABA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 HOLLYWOOOD AVE
Mailing Address - Street 2:E
Mailing Address - City:HOFFMAN
Mailing Address - State:IL
Mailing Address - Zip Code:60169
Mailing Address - Country:US
Mailing Address - Phone:224-386-5445
Mailing Address - Fax:
Practice Address - Street 1:848 HOLLYWOOOD AVE
Practice Address - Street 2:E
Practice Address - City:HOFFMAN
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:224-386-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171R00000XOther Service ProvidersInterpreter
No1744R1102XOther Service ProvidersSpecialistResearch Study
No174V00000XOther Service ProvidersClinical Ethicist
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program