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NPI Code Detail

MEDICARE: DR. ALEXANDER REED GRIFFITH M.D.

MEDICARE: DR. ALEXANDER REED GRIFFITH M.D.
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
1207L00000XAnesthesiology Physician125.062880IL
2390200000XStudent in an Organized Health Care Education/Training Program
3207L00000XAnesthesiology Physician036138850IL

General Provider Information

NPI Number : 1235471251
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER REED GRIFFITH M.D.
Provider Business Mailing Address
First Line : 1740 W TAYLOR ST # 3200W
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST # 3200W
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 312-355-0558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2013
Last Update Date : 11/14/2022

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