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BIANCA ALEXANDRIA DOHERTY PA-C
NPI 1053836783
Physician Assistant in Chicago, IL

Active since August 03, 2017
2073 N CLYBOURN AVE, CHICAGO, IL 60614(773) 665-4016(773) 360-6200 Get Directions Write a Review

NPPES record last updated: November 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2017, Aug 3, 2017 (2 updates tracked since 2017).

About Bianca Alexandria Doherty Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIANCA ALEXANDRIA DOHERTY PA-C (NPI 1053836783) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.006228) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1053836783
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBIANCA ALEXANDRIA DOHERTYCredential: PA-C
Location Address2073 N CLYBOURN AVEChicago, IL 60614-4003
Mailing Address3909 N Western AveChicago, IL 60618-3741 · (773) 739-9200
Phone(773) 665-4016
Fax(773) 360-6200
Sole ProprietorNo
Enumeration DateAugust 3, 2017
Last NPPES UpdateNovember 20, 20172 updates tracked since enumeration
✔ NPI 1053836783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.006228
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2073 N CLYBOURN AVE, Chicago, IL 60614
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN A FINNEKE PA-C
Physician Assistant (Medical)
2073 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 665-4016
JOHN G LATALL MD SC
Allergy & Immunology (Allergy)
2073 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 665-4016
MARGARET CLARE DOUGHERTY
Physician Assistant
2073 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 665-4016
AMANDA ALBRECHT
Physician Assistant
2073 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 665-4016
JOHN G LATALL MD
Allergy & Immunology
2073 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 665-4016
MS. KINZIE G. SHARP PA-C
Physician Assistant
2073 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 665-4106
EMILY REINWALD
Physician Assistant
2073 N CLYBOURN AVE
CHICAGO, IL 60614
Cook County (773) 665-4016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Doherty's NPI number?

The NPI number for Bianca Doherty is 1053836783. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Bianca Doherty located?

Bianca Doherty practices at 2073 N Clybourn Ave, Chicago, IL 60614. The listed phone number is (773) 665-4016.

What is Bianca Doherty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bianca Doherty was last updated on November 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.