Individual provider · Type 1 NPI

Amanda Kidder, PA-C

Surgical Physician Assistant · Elmhurst, IL

NPI number 1780140954 Active

Practice location

1200 S York St Ste 2000
Elmhurst, IL 60126-5634

Call (630) 646-7000 Map

Fax (331) 221-2760

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085011123 (IL)
Surgical Physician Assistant Primary 363AS0400X085011123 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1780140954

Amanda Kidder, PA-C's National Provider Identifier is 1780140954, issued on Feb 13, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elmhurst, IL. The record was last updated on Mar 23, 2026.