Healthcare Provider Details

I. General information

NPI: 1053223016
Provider Name (Legal Business Name): ALEXANDER WINTERING
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 S ROUTE 59
AURORA IL
60504-8169
US

IV. Provider business mailing address

PO BOX 713260
CHICAGO IL
60677-1260
US

V. Phone/Fax

Practice location:
  • Phone: 637-547-8000
  • Fax: 630-547-8001
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070041171
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: