Individual
ALEX JOHN AUSEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201-1779
(847) 864-3278
(847) 676-1727
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036105730
IL
207RC0000X
Cardiovascular Disease Physician
34007783
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2696346
—
OH
Enumeration date
09/15/2006
Last updated
07/30/2025
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