IndividualActive
Adela Redzic, PA-C
NPI 1912548587 · Physician Assistant · O Fallon, IL
Provider details
- NPI number
- 1912548587
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085.007333 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone: (618) 234-2120
Approximate (ZIP-level) locationGet directions
Mailing address
7827 Wanda Ave
Saint Louis, MO 63123-4836
Registry dates
- Enumerated
- 2019-10-03
- Last updated
- 2019-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.