Individual
ALLISON MARIE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9649 W 55TH ST, COUNTRYSIDE, IL 60525-3699
(708) 352-3580
(708) 352-2715
Mailing address
241 S ORCHARD DR, BOLINGBROOK, IL 60440-2660
(708) 860-1495
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005871
IL
390200000X
Student in an Organized Health Care Education/Training Program
242.005871
IL
Other
Enumeration date
09/16/2020
Last updated
08/11/2021
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