IndividualActive
Brian Minardi, PA-C
NPI 1104259126 · Medical Physician Assistant · Bellwood, IL
Provider details
- NPI number
- 1104259126
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085.004739 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2615 Harrison St
Bellwood, IL 60104-2450
Phone: (708) 493-0299
Fax: (708) 493-0594
Approximate (ZIP-level) locationGet directions
Mailing address
2615 Harrison St
Bellwood, IL 60104-2450
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2013-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.