Individual
ALEXANDRIA JOANN HASELHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-2870
(312) 238-1219
Mailing address
1600 W 38TH ST STE 312, AUSTIN, TX 78731-6406
(512) 324-7131
(512) 324-7193
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
S4490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S4490
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/12/2015
Last updated
07/21/2022
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