Individual
ALEXA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 N WELLS ST, CHICAGO, IL 60614-6087
(312) 642-8114
(312) 642-8504
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.028422
IL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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