IndividualActive
Amanda Kidder, PA-C
NPI 1780140954 · Surgical Physician Assistant · Elmhurst, IL
Provider details
- NPI number
- 1780140954
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085011123 (IL)
Practice location
1200 S York St Ste 2000
Elmhurst, IL 60126-5634
Phone: (630) 646-7000
Fax: (331) 221-2760
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Registry dates
- Enumerated
- 2019-02-13
- Last updated
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.