Individual
ROHSAAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8212 S ESCANABA AVE, CHICAGO, IL 60617-2119
(773) 910-2056
Mailing address
8212 S ESCANABA AVE, CHICAGO, IL 60617-2119
(773) 910-2056
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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