Individual
DR. ALEXA MAISENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4700 GILBERT AVE, WESTERN SPRINGS, IL 60558-1753
(708) 246-5120
Mailing address
4435 ARBOR CIR APT 23, DOWNERS GROVE, IL 60515-2517
(773) 682-2451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051304113
IL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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