Adam R. Dziedzic, P.A.-C
Physician Assistant · Great Lakes, IL
UnclaimedP.A.-CNPI 1104935899
- Primary taxonomy
- 363A00000X
- Enumerated
- 2006-08-29
- Practice location
- Great Lakes, IL
- Last NPPES update
- 2024-03-12
State licenses
- IL · Physician assistant · LICENSED PHYSICIAN ASSISTANTActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.