IndividualActive
Alexander Whitney, PA-C
NPI 1003307463 · Medical Physician Assistant · Rockford, IL
Provider details
- NPI number
- 1003307463
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 085006485 (IL)
Practice location
1055 Featherstone Rd Ste C
Rockford, IL 61107-5904
Phone: (815) 227-1055
Fax: (815) 227-1006
Mailing address
1055 Featherstone Rd Ste C
Rockford, IL 61107-5904
Registry dates
- Enumerated
- 2018-05-22
- Last updated
- 2018-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.