Healthcare Provider Details

I. General information

NPI: 1922741941
Provider Name (Legal Business Name): ALEXANDRA DANIELLE FRANIEK MBCHB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2022
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NORTHERN MEMORIAL HOSPITAL 251 EAST HURON STREET
CHICAGO IL
60611
US

IV. Provider business mailing address

1408 WEST 8TH AVE HEALIX HEALTH SUITE 400
VAN BRITISH COLUMBIA
VGH 1E1
CA

V. Phone/Fax

Practice location:
  • Phone: 312-926-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number125.080928
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: