Individual
DR. PHILIP JOSEPH ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
(708) 346-4040
(708) 346-3287
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4040
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036103356
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618941
BCBS
IL
05
—
036103356
—
IL
05
—
200800780A
—
IN
05
—
200800780C
—
IL
05
—
200800780E
—
IN
01
—
F400339847
MEDICARE PTAN
IL
Enumeration date
07/22/2005
Last updated
12/15/2021
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