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Organization

CENTER FOR WOMEN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEAN C ALEXANDRE SR. MD (PRESIDENT)
(708) 343-2095
Entity
Organization

Contact information

Practice address
1419 W LAKE ST, SUITE B, MELROSE PARK, IL 60160
(708) 343-2095
(708) 343-2116
Mailing address
1419 W LAKE ST, SUITE B, MELROSE PARK, IL 60160
(708) 343-2095
(708) 343-2116

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00097419
RR MEDICARE
IL
Enumeration date
10/13/2006
Last updated
02/26/2008
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