Healthcare Provider Details

I. General information

NPI: 1477094910
Provider Name (Legal Business Name): ALEXANDRA ELIZABETH FINLEY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA CHISM DC

II. Dates (important events)

Enumeration Date: 03/16/2017
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3264 GREEN MOUNT CROSSING DR
SHILOH IL
62269-7284
US

IV. Provider business mailing address

908 BELSHA ST
NEW ATHENS IL
62264-1502
US

V. Phone/Fax

Practice location:
  • Phone: 618-971-8694
  • Fax:
Mailing address:
  • Phone: 618-971-8694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2022003393
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.013827
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: