ALEXANDRA VIGILANTE


Address: 712 S Milwaukee Ave, Libertyville, IL 60048-3279
Phone: 8473621848

ALEXANDRA VIGILANTE (NPI# 1376971440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376971440
Entity Type Individual
Full Name ALEXANDRA VIGILANTE
Credential PA-C
Practice Address 712 S Milwaukee Ave
Libertyville
IL 60048-3279
Practice Telephone 8473621848
Practice Fax Number 8473623351
Mailing Telephone 8473621848
Mailing Fax Number 8473623351
Enumeration Date 2013-10-28
Last Update Date 2013-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
085.004859 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 712 S MILWAUKEE AVE
City LIBERTYVILLE
State IL
Zip Code 60048-3279

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093703571 Jonathan S Citow Neurological Surgery 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2005-10-10
1669932992 Andrea Carolina Bermudez Physician Assistant 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2019-03-22
1174099022 Alexa Niermeyer Physician Assistant 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2018-10-18
1770966848 Andrew Joyce Physician Assistant 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2015-07-07
1710237748 Justin W Jelinski Physician Assistant 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2012-09-18
1629363064 Lakeshore Physical Therapy, LLC Clinic/Center 712 S Milwaukee Ave, Lower Level, Libertyville, IL 60048-3279 2011-06-14
1811224785 Lake County Imaging, LLC Radiology 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2009-11-12
1922272830 Juan C Alzate Neurological Surgery 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2008-04-22
1912170523 Libertyville Neurosurgery, LLC Neurological Surgery 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2008-04-04
1578774220 James Albert Baker Physician Assistant 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2007-05-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184119950 Park Avenue Dental Professionals, PC Dentist 1001 W. Park Avenue, Libertyville, IL 60048 2018-06-25
1437643525 Shanna Coyle Registered Nurse 1128 Jaimee Ln, Libertyville, IL 60048 2018-06-21
1366943672 Jackie Rayyan Behavior Technician 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 2018-02-22
1851804850 Mary E. Linsey Counselor 34180 Highway 45, Libertyville, IL 60048 2017-11-13
1962929018 Affinity Integrated Healthcare Chiropractor 736 Florsheim Dr, St 12, Libertyville, IL 60048 2017-08-29
1164946471 Christianna Patterson Speech-Language Pathologist 1870 W Winchester Rd #203, Libertyville, IL 60048 2017-07-28
1962938407 Kyle Winiger Specialist/Technologist 4551 West Gavin Lane, Libertyville, IL 60048 2017-05-03
1396291530 Karyn Kolner Physical Therapist 860 W Winchester Rd, #108, Libertyville, IL 60048 2016-08-28
1477900785 Medlogic LLC Clinic/Center 114 West Rockland Road, Suite 201, Libertyville, IL 60048 2016-05-17
1477926343 Robert Mcnulty Student in an Organized Health Care Education/Training Program 1313 Crane Blvd, Libertyville, IL 60048 2015-11-02
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578774220 James Albert Baker Physician Assistant 712 S Milwaukee Ave, Libertyville, IL 60048-3279 2007-05-24
1205942539 Ryan Joseph Housner Physician Assistant 890 Garfield Ave, Suite 101, Libertyville, IL 60048-4723 2006-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477169522 Priority Assist Pllc Physician Assistant 48 Glenda Ln, Plano, IL 60545-9652 2020-09-23
1154944478 Diana Goldak Physician Assistant 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 2020-05-20
1033742580 Colleen Courtney Physician Assistant 218 S Driftwood Trl, Mchenry, IL 60050-5454 2020-02-12
1326678962 Nina Kodros Physician Assistant 301 Madison St Ste 280, Joliet, IL 60435-6672 2020-01-23
1689218190 Jennifer Richman Physician Assistant 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 2019-10-29
1710547625 Nadia Khan Physician Assistant 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 2019-06-13
1962065516 Jorge Mantilla Physician Assistant 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 2019-04-18
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1770041949 Laura Ann Ryan Physician Assistant 840 S Wood St Ste 417, Chicago, IL 60612-4325 2019-03-06
1548739782 Helen Finke Physician Assistant 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 2018-11-16
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Competitor

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City LIBERTYVILLE
Zip Code 60048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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