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Individual

ALEXANDRA SEYBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1717 W CONGRESS PKWY, CHICAGO, IL 60612-3809
(312) 942-4200
Mailing address
1717 W CONGRESS PKWY, CHICAGO, IL 60612-3809
(312) 942-4200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.166715
IL
208M00000X
Hospitalist Physician
Primary
036.166715
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2020
Last updated
09/06/2023
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