Fedor, Dorothy Anne

Fedor, Dorothy Anne is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fedor, Dorothy Anne can be contacted via phone (630) 933-4480.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190
Phone: (630) 933-4480
Fax: (630) 933-2009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085001477 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001099A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2687-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001477 Illinois

Profile Details

NPI number 1437216165
LBN Legal business name Fedor, Dorothy Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated May 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437216165 NPPES
Illinois Other 206147105 MEDICARE PTAN (INDIVIDUAL)
Illinois MEDICAID 1437216165 MEDICARE PTAN (INDIVIDUAL)
Illinois Other 206147 MEDICARE PTAN (INDIVIDUAL)

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