Individual provider · Type 1 NPI

Lawrence Wiggins, PA

Physician Assistant · Chicago, IL

NPI number 1104897974 Active

Practice location

2361 Paysphere Cir
Chicago, IL 60674-0023

Mailing address

2520 Elisha Ave
Zion, IL 60099-2676

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104897974

Lawrence Wiggins, PA's National Provider Identifier is 1104897974, issued on Jan 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Jul 13, 2026.