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Contact Information

BRIAN D AMUNDSON, PA-C
550 W OGDEN AVE
HINSDALE, IL60521-3186
 Phone: 630-323-6116
 Fax: 630-323-6169
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRIAN D AMUNDSON · (Male)

NPI # 1275574469
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/09/2006
Last updated 03/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085002379
Hospital affiliation(s)
  • LOYOLA UNIVERSITY MEDICAL CENTER - (Acute Care)
    2160 S 1ST AVENUE
    MAYWOOD, IL 60153
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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