Individual
ALEXANDRA ROOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 W OHIO ST, APT BSMT, CHICAGO, IL 60622
(815) 768-5612
Mailing address
1900 W OHIO ST APT BSMT, CHICAGO, IL 60622-5561
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
987089
IL
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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