Provider Demographics
NPI:1518766559
Name:LIGEZA, ALEXANDER ROBERT (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:ROBERT
Last Name:LIGEZA
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10426 DAWSON ST
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-9019
Mailing Address - Country:US
Mailing Address - Phone:847-907-0071
Mailing Address - Fax:
Practice Address - Street 1:10426 DAWSON ST
Practice Address - Street 2:
Practice Address - City:HUNTLEY
Practice Address - State:IL
Practice Address - Zip Code:60142-9019
Practice Address - Country:US
Practice Address - Phone:847-907-0071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant