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Search › Illinois › 363A00000X

Kevin Widdis, PA-C

NPI 1407512056 · on the registry since 2021

Practice

Address
2500 W Higgins Rd Ste 1165
Hoffman Estates, IL 60169
Phone
(847) 289-5727
Organisation at this address
Primenp
Imge, Llc
Rodasi Llc
Rodasi Llc
Concilium Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
223

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois