Alexander, Johnny O

Alexander, Johnny O is an individual health care provider with primary practice located at 3753 S Cottage Grove Ave Ste 101 , Chicago IL 60653-1662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Alexander, Johnny O can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
3753 S Cottage Grove Ave Ste 101 Chicago IL 60653-1662
Phone: (708) 216-9000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101243293 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36128037 Illinois

Profile Details

NPI number 1649439043
LBN Legal business name Alexander, Johnny O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Oct 24th, 2022 - about 3 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 1649439043 NPPES
Virginia MEDICAID 1649439043

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