Individual
MR. ALEX MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18205 HART DR APT 3A, HOMEWOOD, IL 60430-2514
(773) 577-7742
Mailing address
18205 HART DR APT 3A, HOMEWOOD, IL 60430-2514
(773) 577-7742
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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