SearchIllinois111N00000X

Alexander Park, D.C

NPI 1194095729 · on the registry since 2012 · sole proprietor

Practice

Address
36 Main St Ste 100
Park Ridge, IL 60068
Phone
(847) 518-5515
Organisation at this address
Ot Laura Llc
Alex Park Dc Sc
Amanda Rafferty Dpt Llc
Lazzaro Psychological Services, Pc
Main Street Counseling Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois