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“Physician Assistant” (Great Lakes, IL)

Location: Great Lakes, IL
Taxonomy: Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1104935899 — ADAM ROBERT DZIEDZIC P.A.-C
Practice Location Address:
3410 ILLINOIS ST
GREAT LAKES IL
60088-3120
Practice Phone: 224-610-8553
1154123560 — MAXWELL ROONEY
Practice Location Address:
3410 ILLINOIS ST
GREAT LAKES IL
60088-3120
Practice Phone: 847-688-2469
1164482212 — MR. WILLIAM HARRELD PETERSON PA-C
Practice Location Address:
3420 ILLINOIS ST USS TRANQUILITY MEDICAL CLINIC 1007
GREAT LAKES IL
60088-5230
Practice Phone: 847-688-6755
1396860334 — CARLOS JULIO ALBARRACIN PAC
Practice Location Address:
3001A SIXTH STREET
GREAT LAKES IL
60088-5230
Practice Phone: 847-688-4560

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