Individual
AMELA I DEDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
245 S GARY AVE, BLOOMINGDALE, IL 60108-2228
(630) 893-5230
Mailing address
435 N 5TH ST, PHOENIX, AZ 85004-2157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
10/14/2024
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