Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lawrence Wiggins, PA

Individual provider Physician Assistant · NPI 1104897974

Lawrence Wiggins, PA is a Physician Assistant in Chicago, Illinois. Qualified in 1982, 44 years ago. Practices with Waukegan Clinic Corp, a 62-clinician group and accepts Medicare assignment.

Years since qualifying
44
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2361 Paysphere Cir
Chicago, IL 60674-0023
Phone: (847) 746-4358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104897974
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2520 Elisha Ave, Zion, IL 60099-2676

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Waukegan Clinic Corp — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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