Individual
DR. ALEXANDRA LUCILLE MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-6003
Mailing address
123 N DESPLAINES ST APT 915, CHICAGO, IL 60661-2335
(614) 746-5285
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
041453297
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209027300
IL
Other
Enumeration date
03/22/2023
Last updated
06/07/2023
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