Individual
VERNITA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6234 VINCENT LN, MATTESON, IL 60443-3348
(773) 726-8696
Mailing address
6234 VINCENT LN, MATTESON, IL 60443-3348
(773) 726-8696
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.085442
IL
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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