Provider Demographics
NPI:1689443152
Name:TURNADZIC, ADELISA
Entity type:Individual
Prefix:
First Name:ADELISA
Middle Name:
Last Name:TURNADZIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 N LASALLE ST
Mailing Address - Street 2:SUITE 1450
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-4351
Mailing Address - Country:US
Mailing Address - Phone:515-822-4520
Mailing Address - Fax:
Practice Address - Street 1:1 N LASALLE ST
Practice Address - Street 2:SUITE 1450
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-4351
Practice Address - Country:US
Practice Address - Phone:515-822-4520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2024-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.111066104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker