| Adam Robert Dziedzic, PA-C | |
|
3410 Illinois St, Great Lakes, IL 60088-3120 | |
| (224) 610-8553 | |
| Not Available |
| Full Name | Adam Robert Dziedzic |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3410 Illinois St, Great Lakes, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104935899 | NPI | - | NPPES |
| 085004025 | Other | IL | STATE OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085004025 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Robert Dziedzic, PA-C 3410 Illinois St, Great Lakes, IL 60088-3120 Ph: (224) 610-8553 | Adam Robert Dziedzic, PA-C 3410 Illinois St, Great Lakes, IL 60088-3120 Ph: (224) 610-8553 |
Mr. Warren K Kennedy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3420 Illinois St, Great Lakes, IL 60088 Phone: 847-688-2522 | |
Mr. William Harreld Peterson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3420 Illinois St, Uss Tranquility Medical Clinic 1007, Great Lakes, IL 60088 Phone: 847-688-6755 | |
Kevin O'connor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3420 Illinois St, Great Lakes, IL 60088 Phone: 847-688-6755 | |
Carlos Julio Albarracin, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3001a Sixth Street, Great Lakes, IL 60088 Phone: 847-688-4560 | |
Mr. Jerome Thomas Campbell Ii, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3420 Illinois Street, Uss Tranquillity Medical Clinic, Great Lakes, IL 60088 Phone: 847-680-6175 |