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Individual

ALEXANDRA MATHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2419 W CORNERSTONE CT, PEORIA, IL 61614-2529
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036149401
IL
207VX0000X
Obstetrics Physician
125.067768
IL

Other

Enumeration date
07/14/2015
Last updated
04/07/2026
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