Organization
ALEXANDRA N. DOUVAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA N. DOUVAS DDS (PRESIDENT)
(708) 283-2207
Entity
Organization
Contact information
Practice address
20180 GOVERNORS HWY, STE 104, OLYMPIA FIELDS, IL 60461
(708) 283-2207
Mailing address
3950 N. LAKE SHORE DR, UNIT 430, CHICAGO, IL 60613
(708) 283-2207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022594
IL
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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