Alexa Tannous, PA-C
NPI 1104208362 · Physician Assistant · Chicago, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alexa Tannous, PA-C is a Physician Assistant provider in Chicago, IL (NPI 1104208362).
Provider details
- NPI number
- 1104208362
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085005472 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2650 Ridge AveEvanston, IL 60201-1700Phone: (847) 570-2868Fax: (847) 733-5005
Registry dates
- Enumerated
- 2015-06-24
- Last updated
- 2022-11-20
- Certified
- 2022-11-20
Frequently asked questions
- What is Alexa Tannous's NPI number?
- Alexa Tannous's National Provider Identifier (NPI) is 1104208362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alexa Tannous's specialty?
- Alexa Tannous is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alexa Tannous located?
- Alexa Tannous's practice location on file with NPPES is 225 E Chicago Ave, Chicago, IL 60611-2991.
- What is Alexa Tannous's phone number?
- The practice phone number listed in the NPPES registry for Alexa Tannous is (219) 776-0250.
- Does Alexa Tannous accept Medicare?
- Alexa Tannous is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alexa Tannous's NPI active?
- Yes — Alexa Tannous's NPI (1104208362) is active in the NPPES registry as of the last update on 2022-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.