Individual
ALEXIS WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W WASHINGTON ST, CHICAGO, IL 60606-2418
(312) 741-1086
Mailing address
1116 GARFIELD ST UNIT 4293, OAK PARK, IL 60304-0752
(312) 741-1086
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W65000087945
IL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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