Individual
DR. TODD DAVID ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD SC
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 381-7431
Mailing address
5875 E RIVERSIDE BLVD, SUITE 210, ROCKFORD, IL 61114-4937
(815) 381-7431
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036087626
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087626
—
IL
01
—
10107489
BLUE CROSS BLUE SHIELD
IL
01
—
140007501
RAILROAD MEDICARE PTAN
IL
01
—
DB6066
RAILROAD MEDICARE GROUP NUMBER
IL
Enumeration date
03/17/2006
Last updated
12/17/2021
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