Provider Demographics
NPI:1033095518
Name:OADDAMS, SENECA
Entity type:Individual
Prefix:
First Name:SENECA
Middle Name:
Last Name:OADDAMS
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 1:8945 WILLOW TERRACE DR APT 1912
Mailing Address - Street 2:
Mailing Address - City:ORLAND HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60487-3193
Mailing Address - Country:US
Mailing Address - Phone:708-674-2089
Mailing Address - Fax:
Practice Address - Street 1:1721 MOON LAKE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1070
Practice Address - Country:US
Practice Address - Phone:708-427-4127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILRBT-25-451450106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician