Individual
ALEXANDRA OLAVARRIETA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 880-9722
(773) 880-9723
Mailing address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 880-9722
(773) 880-9723
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.082157
IL
207RC0000X
Cardiovascular Disease Physician
Primary
125.082157
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
04/07/2026
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