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Individual

BONITA S ALEXANDER

Active
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Individual

BONITA S ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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
07/17/2026
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