Individual provider · Type 1 NPI

Lidia S. Pomaville, PA-C

Physician Assistant · Berwyn, IL

NPI number 1144595174 Active

Practice location

3253 S Harlem Ave, Suite 1A
Berwyn, IL 60402-3073

Fax (708) 788-6884

Mailing address

801 York St
Manitowoc, WI 54220-4630

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-004255 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1144595174

Lidia S. Pomaville, PA-C's National Provider Identifier is 1144595174, issued on Mar 8, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Berwyn, IL. The record was last updated on Feb 23, 2021.