Individual
ALEXIS LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
251 EAST HURON, GALTER PAVILION LC-178, CHICAGO, IL 60611
(312) 926-2520
(312) 926-6374
Mailing address
251 EAST HURON, GALTER PAVILION LC-178, CHICAGO, IL 60611
(312) 926-2520
(312) 926-6374
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024018
IL
363LF0000X
Family Nurse Practitioner
209024018
IL
Other
Enumeration date
10/13/2021
Last updated
06/09/2022
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