IndividualActive
Adam Mayberry, PA
NPI 1902437296 · Medical Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1902437296
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 085007405 (IL)
Mailing address
3051 W Lyndale St
Chicago, IL 60647-2811
Registry dates
- Enumerated
- 2020-01-27
- Last updated
- 2020-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.