Alexander, Jeffery H

Alexander, Jeffery H is an individual health care provider with primary practice located at 1611 W Harrison St Ste 510 , Chicago IL 60612-4861. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Alexander, Jeffery H can be contacted via phone (847) 390-7666.

Contact Information

Primary practice address
1611 W Harrison St Ste 510 Chicago IL 60612-4861
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016005085 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005085 Illinois

Profile Details

NPI number 1407844210
LBN Legal business name Alexander, Jeffery H
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Dec 20th, 2021 - about 4 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 1407844210 NPPES
Illinois MEDICAID 016005085

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