Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam Robert Dziedzic, PA-C

Individual provider Physician Assistant · NPI 1104935899

Adam Robert Dziedzic, PA-C is a Physician Assistant in Great Lakes, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3410 Illinois St
Great Lakes, IL 60088-3120
Phone: (224) 610-8553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004025 (IL)

Record details

NPI number1104935899
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024

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