Individual
ALYSSA STRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1645 W JACKSON BLVD STE 603, CHICAGO, IL 60612-2643
(312) 942-0819
Mailing address
1645 W JACKSON BLVD STE 603, CHICAGO, IL 60612-2643
(312) 942-0819
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036163313
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036163313
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/07/2015
Last updated
02/14/2023
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