Basic Information
Provider Information
NPI: 1801022124
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDER
FirstName: SARAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2650 RIDGE AVE STE 1223
Address2:  
City: EVANSTON
State: IL
PostalCode: 602011700
CountryCode: US
TelephoneNumber: 8479826715
FaxNumber:  
Practice Location
Address1: 2150 PFINGSTEN RD STE 1200
Address2:  
City: GLENVIEW
State: IL
PostalCode: 600261326
CountryCode: US
TelephoneNumber: 8478643278
FaxNumber: 8479015250
Other Information
ProviderEnumerationDate: 06/01/2009
LastUpdateDate: 11/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X01081331AINN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000X036.130032ILY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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