BIANCA ALEXANDRIA DOHERTY (PA-C) – Physician Assistant, NPI 1053836783

Physician Assistant

BIANCA ALEXANDRIA DOHERTY (PA-C) is a healthcare provider. based in Chicago, Illinois. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 085.006228 (IL). The NPI Number for BIANCA ALEXANDRIA DOHERTY (PA-C) is 1053836783

Main info

Female

9 Years Of Experience

Accepts Medicare Assignment

Name

BIANCA ALEXANDRIA DOHERTY (PA-C)

NPI

1053836783

Phone

(773) 739-9200

Address

3909 N WESTERN AVE

Enumeration Date

3 August 2017

Last Update Date

20 November 2017

Doctor Profile

Medical School Name

NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL

Secondary Phone

8474580568

Graduation Year

2017 (9 years ago)

PAC ID

6305105156

Group Practice PAC ID

2264739804

Professional Enrollment ID

I20180124001246

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience30

Completeness75

Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for BIANCA ALEXANDRIA DOHERTY (PA-C)

North Western Avenue, Bricktown, North Center, Roscoe Village, Chicago, Cook County, Illinois, 60618, United States
CHICAGO, IL 606183741
Phone: (773) 739-9200
Type: Mailing
2073, North Clybourn Avenue, Lincoln Park, Chicago, Cook County, Illinois, 60614, United States
CHICAGO, IL 606144003
Phone: (773) 665-4016
Fax: (773) 360-6200
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60618)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2264739804View full group profile

Name	Specialty	State
MS. CANDICE DYER (FNP-C)	-	IL
KERI DOUGLAS (FNP-BC)	-	IL
DR. JACINTO GARCIA OBREGON (MD)	-	IL
JULIEANNE RENEE WATTERS (DO)	-	PA
LAUREN TAYLOR (PA - C)	Physician Assistant	PA
KIMBERLY C ANDEREGG (FNP)	Nurse Practitioner	IL
RUTH A HOLMAN (NP)	-	IL
MRS. COLLEEN PATRICIA ANDREONI (APN)	-	IL
NAJWA SALEH (FNP)	-	IL
SARAH T SMITH (FNP-BC)	-	MO

Reviews

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Frequently asked questions

How do payers reference BIANCA ALEXANDRIA DOHERTY (PA-C)?

For BIANCA ALEXANDRIA DOHERTY (PA-C), use NPI 1053836783 as the unique 10-digit identifier.

Is BIANCA ALEXANDRIA DOHERTY (PA-C) shown as active in public data?

Registry records indicate BIANCA ALEXANDRIA DOHERTY (PA-C) maintains an active NPI.

What clinical focus is listed for BIANCA ALEXANDRIA DOHERTY (PA-C)?

At a glance, BIANCA ALEXANDRIA DOHERTY (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.

Is BIANCA ALEXANDRIA DOHERTY (PA-C) associated with Chicago?

Public fields place BIANCA ALEXANDRIA DOHERTY (PA-C) around Chicago, Illinois. Always confirm the exact site before visiting.

What does 2 location(s) imply?

2 practice locations appear in the available data.

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