Individual ProviderAdam SmithCounselorBehavioral Health & Social Service ProvidersPractice Address125 S 4th St, Oregon, IL 61061-1609(815) 732-3157PECOS EnrollmentBased on the most recent information from CMS, provider Adam Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1386761070Provider TypeIndividualFull NameSmith, AdamGenderMaleSole ProprietorYesEnumeration Date3/26/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address125 S 4th St, Oregon, IL 61061-1609Phone(815) 732-3157FaxUnlisted FaxMailing LocationMailing Address604 E 3rd St, Dixon, IL 61021-3210PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer