Provider Demographics
NPI:1134323637
Name:GIUNTA, ALISON BAXTER (MS PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:BAXTER
Last Name:GIUNTA
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Gender:F
Credentials:MS PA-C
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Mailing Address - Street 1:5201 WILLOW SPRINGS RD
Mailing Address - Street 2:#440
Mailing Address - City:LA GRANGE HIGHLANDS
Mailing Address - State:IL
Mailing Address - Zip Code:60525-6537
Mailing Address - Country:US
Mailing Address - Phone:708-354-4667
Mailing Address - Fax:708-354-6454
Practice Address - Street 1:5201 WILLOW SPRINGS RD
Practice Address - Street 2:#440
Practice Address - City:LA GRANGE HIGHLANDS
Practice Address - State:IL
Practice Address - Zip Code:60525-6537
Practice Address - Country:US
Practice Address - Phone:708-354-4667
Practice Address - Fax:708-354-6454
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical