Healthcare Provider Details

I. General information

NPI: 1508796889
Provider Name (Legal Business Name): MRS. ZAQUITA ALEXANDER-TOLBERT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS ZAQUITA ALEXANDER

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 S MICHIGAN AVE STE 900
CHICAGO IL
60604-4393
US

IV. Provider business mailing address

332 S MICHIGAN AVE STE 900
CHICAGO IL
60604-4393
US

V. Phone/Fax

Practice location:
  • Phone: 708-402-8295
  • Fax:
Mailing address:
  • Phone: 708-402-8295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: