Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM W. BENNETT, MD
ActiveADAM W. BENNETT, MD is a Sports Medicine healthcare provider located in LAKE FOREST, Illinois. NPI 1376595025 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · LAKE FOREST, IL
Registration Details
- NPI Number
- 1376595025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.199390636641 yrs)
- Last Updated
- Oct 14, 2020
- Licenses
-
036106759 (IL)036106759 (IL)
Practice Information
- Address
-
1000 N WESTMORELAND RDLAKE FOREST, IL, 600451658Browse IL providers · Browse ZIP 60045
- Phone
- 8475358500
- Fax
- 8475358488
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.