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NPI Code Detail

MEDICARE: ALEXIS NICOLE GUENETTE D.O.

MEDICARE: ALEXIS NICOLE GUENETTE D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianOT014943PA
2207RI0200XInfectious Disease Physician036165961IL

General Provider Information

NPI Number : 1184979700
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS NICOLE GUENETTE D.O.
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 940
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2945
Country : US
Telephone Number : 312-926-8358
Fax Number : 312-926-9630
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 940
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2945
Country : US
Telephone Number : 312-926-8358
Fax Number : 312-926-9630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2012
Last Update Date : 11/30/2023

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Directions to “ ALEXIS NICOLE GUENETTE D.O.” Practice Location

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