Individual
ALEXANDRA NOEL SCORNAVACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041433151
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209025702
IL
Other
Enumeration date
04/12/2022
Last updated
10/03/2024
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