Individual
BRENDAN T. DINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
409 W OAK ST, CARBONDALE, IL 62901-1464
(618) 529-4455
(618) 351-1287
Mailing address
409 W OAK ST, CARBONDALE, IL 62901-1464
(618) 529-4455
(618) 351-1287
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011663
IL
Other
Enumeration date
09/24/2025
Last updated
12/03/2025
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