Adam Robert Dziedzic in Chicago - Physician Assistant

Adam Robert Dziedzic - NPI 1104935899

Adam Robert Dziedzic is a Physician Assistant in Chicago, Illinois. Adam Robert Dziedzic practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Adam Robert Dziedzic is 1104935899. The last update date is 2016-09-13.

Adam Robert Dziedzic's current location address is 7447 W Talcott Ave Ste 569, Chicago, Illinois. You can contact this provider via phone number 7737759574 and fax number 7737759714. The mailing address for Adam Robert Dziedzic is 7447 W Talcott Ave Ste 569, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Adam Robert Dziedzic
Address 7447 W Talcott Ave Ste 569, Chicago, Illinois
Phone Number 7737759574
Fax Number 7737759714
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1104935899
Provider Enumeration Date 2006-08-29
Last Updated Date 2016-09-13

Provider Mailing Address Detail

Address 7447 W Talcott Ave Ste 569
City Chicago
State Illinois (IL)
Post Code 606313722
Phone Number 7737759574
Fax Number 7737759714

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85004025
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85004025 IL STATE OF ILLINOIS

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FAQs about Adam Robert Dziedzic

What is the Adam Robert Dziedzic's unique identification number?

The Adam Robert Dziedzic has been assigned the NPI (National Provider Identifier) Number 1104935899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

What is the unique 10-digit identification code assigned to Adam Robert Dziedzic by the Centers for Medicare & Medicaid Services?

The Adam Robert Dziedzic has been issued the NPI (National Provider Identifier) 1104935899, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Adam Robert Dziedzic's physical address?

The Adam Robert Dziedzic is physically located at 7447 W Talcott Ave Ste 569, in the city of Chicago, IL, with the postal code 606313722.

Could you please provide the complete street address where Adam Robert Dziedzic is physically located?

The Adam Robert Dziedzic is physically situated at the following address: 7447 W Talcott Ave Ste 569, Chicago, IL, 606313722.

When did the Adam Robert Dziedzic receive its 1104935899?

The Adam Robert Dziedzic was issued its 1104935899 on 2006-08-29, which is the date when the organization was assigned this unique identifier.

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