Individual
ALEX MACEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
(773) 782-2800
(773) 782-5042
Mailing address
3600 W FULLERTON AVE, CHICAGO, IL 60647-2319
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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