Individual
ALEXANDRA KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9521 S WESTERN AVE, CHICAGO, IL 60643-1013
(773) 344-9120
Mailing address
5521 N WASHINGTON ST, CHICAGO, IL 60656-1500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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