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Individual

DR. TAMIKA ANDRIA ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2045 W. WASHINGTON BLVD, NYC 698, CHICAGO, IL 60612-2428
(312) 996-2000
(312) 413-7812
Mailing address
3704 SOUTH KING DR, UNIT 3D, CHICAGO, IL 60653
(708) 289-0505

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-128864
IL
207V00000X
Obstetrics & Gynecology Physician
036128864
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036128864
IL
Enumeration date
05/04/2007
Last updated
02/08/2012
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