Individual
ALEXA BANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4754 N LINCOLN AVE STE 1, CHICAGO, IL 60625-7256
(772) 564-9941
(773) 694-4841
Mailing address
3423 N GREENVIEW AVE, CHICAGO, IL 60657-1307
(312) 909-1510
(773) 694-4841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-018401
IL
Other
Enumeration date
05/26/2011
Last updated
10/06/2020
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