Healthcare Provider Details

I. General information

NPI: 1811823883
Provider Name (Legal Business Name): ALEXANDRA ENGLISH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8311 ROOSEVELT RD
FOREST PARK IL
60130-2500
US

IV. Provider business mailing address

1408 N CAMPBELL AVE APT 1R
CHICAGO IL
60622-8904
US

V. Phone/Fax

Practice location:
  • Phone: 708-771-7000
  • Fax: 708-488-4989
Mailing address:
  • Phone: 708-771-7000
  • Fax: 708-488-4989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.018129
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: