Healthcare Provider Details

I. General information

NPI: 1215894019
Provider Name (Legal Business Name): PARASKEVI EVA ALEXANDER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 02/22/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5257 W 102ND ST
OAK LAWN IL
60453-3868
US

IV. Provider business mailing address

5257 W 102ND ST
OAK LAWN IL
60453-3868
US

V. Phone/Fax

Practice location:
  • Phone: 708-466-0968
  • Fax:
Mailing address:
  • Phone: 708-466-0968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.034815
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: