Ahlberg, Alexandra Leigh

Ahlberg, Alexandra Leigh is an individual health care provider with primary practice located at 111 N County Farm Rd , Wheaton IL 60187-3988. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ahlberg, Alexandra Leigh can be contacted via phone (630) 682-7400.

Contact Information

Primary practice address
111 N County Farm Rd Wheaton IL 60187-3988
Phone: (630) 682-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 150.105224 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1063097186
LBN Legal business name Ahlberg, Alexandra Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2021
Last updated Jun 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063097186 NPPES
Illinois Other A416-01294881 DRIVER'S LICENSE

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