Healthcare Provider Details

I. General information

NPI: 1265371983
Provider Name (Legal Business Name): ALEXANDRA HEBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 W TAYLOR ST RM 196
CHICAGO IL
60612-7246
US

IV. Provider business mailing address

10310 E ADMIRAL DOYLE DR
JEANERETTE LA
70544-6704
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-1103
  • Fax:
Mailing address:
  • Phone: 337-352-1428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: