Individual
ALEXANDER JOSEPH PENRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 942-0312
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 942-0312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.077565
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2021
Last updated
06/16/2021
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