Individual provider · Type 1 NPI

Amy E. Hedstrom, PA-C

Surgical Physician Assistant · Park Ridge, IL

NPI number 1396070801 Active

Practice location

350 S Northwest Hwy Ste 106
Park Ridge, IL 60068-4262

Fax (847) 470-1550

Other practice locations

  • 2650 Ridge Ave, Evanston, IL 60201-1700 · (847) 663-2652

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085001015 (IL)
Physician Assistant 363A00000X085001015 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1396070801

Amy E. Hedstrom, PA-C's National Provider Identifier is 1396070801, issued on Oct 16, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Park Ridge, IL. The record was last updated on Mar 30, 2026.