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

Thompson Dzidza, PA

Individual provider Physician Assistant · NPI 1174930887

Thompson Dzidza, PA is a Physician Assistant in Chicago, Illinois. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

925 W 53rd St
Chicago, IL 60609-6109
Phone: (773) 727-7548
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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 085.005067 (IL)

Record details

NPI number1174930887
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 14, 2014
Last updated in NPPESJanuary 10, 2021
Certification dateJanuary 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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