Alexandre, Michelle J

Alexandre, Michelle J is an sole proprietor health care provider with primary practice located at 808 Broadway St , Melrose Park IL 60160-3744. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Alexandre, Michelle J can be contacted via phone (708) 865-0663.

Contact Information

Primary practice address
808 Broadway St Melrose Park IL 60160-3744
Phone: (708) 865-0663
Fax: (708) 345-9676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036100953 Illinois

Profile Details

NPI number 1477604791
LBN Legal business name Alexandre, Michelle J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Oct 12th, 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 1477604791 NPPES
Illinois MEDICAID 036100953
Illinois Other 1626842

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