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Individual

MRS. DENISE DIANE ALEXANDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10055 S YATES BLVD, CHICAGO, IL 60617-5366
(312) 889-8605
Mailing address
10055 S YATES BLVD, CHICAGO, IL 60617-5366
(312) 889-8605

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
A42516459675
IL

Other

Enumeration date
10/27/2022
Last updated
10/27/2022
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