Individual
MISS ALEXIS C ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8687 CONNECTICUT ST, STE D, MERILLVILLE, IL 46410-5541
(219) 750-9630
(219) 750-9451
Mailing address
8687 CONNECTICUT ST, STE D, MERILLVILLE, IL 46410-5541
(219) 750-9630
(219) 750-9451
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085-004592
IL
363AM0700X
Medical Physician Assistant
Primary
10001662A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201235280
—
IN
Enumeration date
01/28/2013
Last updated
11/06/2015
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