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Organization
INDEPENDENT PRACTICE ALLLIANCE LLC
Active
Organization
INDEPENDENT PRACTICE ALLLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEXANDRIA SANDOVAL (MANAGING DIRECTOR)
(630) 962-4776
Entity
Organization
Contact information
Practice address
5140 DOUGLAS RD, OSWEGO, IL 60543-9492
(630) 962-4776
(630) 277-9837
Mailing address
5140 DOUGLAS RD, OSWEGO, IL 60543-9492
(630) 962-4776
(630) 277-9837
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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