Search › Illinois › 111N00000X
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 LlcInferred 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