IndividualActive
Amalia Canada, PA-C
NPI 1508248774 · Medical Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1508248774
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085005499 (IL)
Practice location
5841 S Maryland Ave # Mc5000
Chicago, IL 60637-1443
Phone: (773) 702-1000
Mailing address
5841 S Maryland Ave # Mc5000
Chicago, IL 60637-1443
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.