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Individual

AMALIA MARIA PRODANOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045
(847) 234-5600
Mailing address
714 S HAMLIN AVE, PARK RIDGE, IL 60068-4314
(847) 337-9960

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
08500646
IL
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/11/2018
Last updated
11/06/2025
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