Individual
ALEXIS MOROF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 NIADA TER, HIGHLAND PARK, IL 60035-2037
(847) 707-1503
Mailing address
455 NIADA TER, HIGHLAND PARK, IL 60035-2037
(847) 707-1503
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99999999
OTHER
—
Enumeration date
11/26/2013
Last updated
11/26/2013
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