Healthcare Provider Details

I. General information

NPI: 1932092939
Provider Name (Legal Business Name): ALINAA ALSAUD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ERIE CT STE 6160
OAK PARK IL
60302-2510
US

IV. Provider business mailing address

1820 TURTLE CREEK DR
AURORA IL
60503-4927
US

V. Phone/Fax

Practice location:
  • Phone: 708-763-1490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085011113
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: