Individual
ALEXANDER JEFFORY TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 ALBERT SABIN WAY, ML 0558, CINCINNATI, OH 45267-3618
(513) 558-4748
Mailing address
100 N ADDISON AVE UNIT 609, ELMHURST, IL 60126-3089
(630) 930-4643
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/22/2024
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