Provider Demographics
NPI:1700087368
Name:ALEXANDER, ANITA JOSHUA (PA)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:JOSHUA
Last Name:ALEXANDER
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Gender:F
Credentials:PA
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Mailing Address - Street 1:2650 RIDGE AVE
Mailing Address - Street 2:EVANSTON HOSPITAL
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-2000
Mailing Address - Fax:847-570-1248
Practice Address - Street 1:1000 CENTRAL ST
Practice Address - Street 2:SUITE 720
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1777
Practice Address - Country:US
Practice Address - Phone:847-475-8600
Practice Address - Fax:847-475-8654
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2012-02-01
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Provider Licenses
StateLicense IDTaxonomies
IL085-001179363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILS85566Medicare UPIN