Individual
ALEXANDRA RYAN LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1160 S MICHIGAN AVE APT 2606, CHICAGO, IL 60605-3046
(586) 219-5472
Mailing address
1160 S MICHIGAN AVE APT 2606, CHICAGO, IL 60605-3046
(586) 219-5472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
10/03/2024
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