Healthcare Provider Details

I. General information

NPI: 1134744238
Provider Name (Legal Business Name): ALEXANDRA MOREIRA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27401 W HIGHWAY 22 STE 125
BARRINGTON IL
60010-5934
US

IV. Provider business mailing address

250 S NORTHWEST HWY STE 100
PARK RIDGE IL
60068-4237
US

V. Phone/Fax

Practice location:
  • Phone: 847-381-0388
  • Fax: 847-381-0811
Mailing address:
  • Phone: 847-324-3976
  • Fax: 847-929-1154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number036-168056
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: