Individual
ALEXIS KOLIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
524 E THORN ST, MARION, IL 62959-3526
(618) 969-3130
Mailing address
524 E THORN ST, MARION, IL 62959-3526
(618) 969-3130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.138590
IL
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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