Individual
ALEXANDRA PETRAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST FL 18, CHICAGO, IL 60611-5975
(312) 695-4525
Mailing address
675 N SAINT CLAIR ST FL 18, CHICAGO, IL 60611-5975
(312) 695-4525
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036159629
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2018
Last updated
06/21/2022
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