Organization
ALEXIS HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT RALPH ROSANOVA JR. MD (PRESIDENT)
(773) 282-4700
Entity
Organization
Contact information
Practice address
5510 W MONTROSE AVE, CHICAGO, IL 60641-1330
(773) 282-4700
(773) 282-4728
Mailing address
5510 W MONTROSE AVE, CHICAGO, IL 60641-1330
(773) 282-4700
(773) 282-4728
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036042670
IL
208600000X
Surgery Physician
036042670
IL
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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