Individual provider · Type 1 NPI
Alexis Nicole Lott
Medical Physician Assistant · Chicago, IL
NPI number
1134919418
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Other practice locations
- 3333 Green Bay Rd, North Chicago, IL 60064-3037 · (847) 578-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085011420 (IL) |
Medical Physician Assistant: Definition to come...
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About NPI 1134919418
Alexis Nicole Lott's National Provider Identifier is 1134919418, issued on May 9, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Dec 3, 2025.