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Individual

ALEXIS GREATHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1918 N NASHVILLE AVE, CHICAGO, IL 60707-3912
(773) 517-1542
Mailing address
1817 N 35TH AVE, STONE PARK, IL 60165-1027
(773) 517-1542

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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