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NPI Code Detail

MEDICARE: ALEXANDER QUESADA PA

MEDICARE: ALEXANDER QUESADA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1750211710
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER QUESADA PA
Provider Business Mailing Address
First Line : 555 31ST ST APT 1
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1235
Country : US
Telephone Number : 630-971-6080
Fax Number :
Provider Business Practice Location Address
First Line : 555 31ST ST
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1235
Country : US
Telephone Number : 630-971-6080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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Directions to “ ALEXANDER QUESADA PA” Practice Location

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