Individual
ALEXANDER ANOOSHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
Mailing address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209018460
IL
Other
Enumeration date
03/04/2019
Last updated
04/06/2020
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