Individual
BONITA S ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
955 BEISNER RD STE 1509, ELK GROVE VILLAGE, IL 60007-3475
(847) 631-5664
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-072596
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072596
—
IL
01
—
250012489
RAILROAD MEDICARE
IL
01
—
250012490
RR MEDICARE
IL
Enumeration date
07/28/2006
Last updated
03/29/2022
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