Individual
ALEXANDER S MORTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
1460 N HALSTED ST STE 504, CHICAGO, IL 60642-2613
(312) 926-3627
(312) 926-3231
Mailing address
1460 N HALSTED ST STE 504, CHICAGO, IL 60642-2613
(312) 926-3627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036176512
IL
207Q00000X
Family Medicine Physician
9539
WI
Other
Enumeration date
07/23/2020
Last updated
12/04/2025
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