Individual
ALEXANDER ESTRADA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
11560 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-4517
(872) 315-6494
Mailing address
11560 S KEDZIE AVE STE 200, MERRIONETTE PARK, IL 60803-4517
(708) 974-5800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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