Individual
ALEXANDRA MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-2440
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009552
IL
363A00000X
Physician Assistant
10004270A
IN
Other
Enumeration date
01/17/2023
Last updated
02/22/2024
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