Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexa Harris Tannous, PA-C

Individual provider Physician Assistant · NPI 1104208362

Alexa Harris Tannous, PA-C is a Physician Assistant in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (219) 776-0250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Ridge Ave, Evanston, IL 60201-1700 — (847) 570-2868

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005472 (IL)

Record details

NPI number1104208362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESNovember 20, 2022
Certification dateNovember 20, 2022

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