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Individual

ALEXANDER RACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5000
Mailing address
1148 HEAVENS GATE, LAKE IN THE HILLS, IL 60156-4868
(618) 663-8335

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149024852
IL
1041C0700X
Clinical Social Worker

Other

Enumeration date
01/23/2015
Last updated
11/10/2022
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