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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356961015

Alexander Blank, PA-C is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
2
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

111 W Washington St Ste 1801
Chicago, IL 60602-3430
Phone: (312) 695-8106
Fax: (312) 694-1340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007989 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356961015
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 23, 2020
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 25, 2023
Mailing address111 W Washington St Ste 1801, Chicago, IL 60602-3430

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