Individual
ALEXANDRA VENETOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1460 N HALSTED ST STE 501, CHICAGO, IL 60642
(773) 388-6390
(312) 867-7101
Mailing address
545 N DEARBORN ST APT 1206, CHICAGO, IL 60654-5829
(937) 689-6254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005971
IL
Other
Enumeration date
10/03/2016
Last updated
12/04/2019
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