Healthcare Provider Details

I. General information

NPI: 1790051969
Provider Name (Legal Business Name): ALEXANDRA CHRISTINE TAYLOR DOWNING D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2012
Last Update Date: 08/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1786 MOON LAKE BLVD SUITE 201
HOFFMAN ESTATES IL
60169-5029
US

IV. Provider business mailing address

701 LEE ST STE 480 SUITE 480
DES PLAINES IL
60016-4546
US

V. Phone/Fax

Practice location:
  • Phone: 847-884-7550
  • Fax: 847-884-7510
Mailing address:
  • Phone: 847-827-3008
  • Fax: 847-827-3801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036138416
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: