Amalia Maria Prodanovic
NPI #1396235792 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1396235792
- Entity Type
- Individual
- Name
- Amalia Maria Prodanovic
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 11, 2018
- Last Updated
- Nov 6, 2025
Practice Location
- Address
- 1000 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045
- Phone
- (847) 234-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Student in an Organized Health Care Education/Training Program |
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