Healthcare Provider Details

I. General information

NPI: 1447183462
Provider Name (Legal Business Name): DR. ALEX SERRANO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 E 24TH ST APT A
STERLING IL
61081-1412
US

IV. Provider business mailing address

1405 E 24TH ST APT A
STERLING IL
61081-1412
US

V. Phone/Fax

Practice location:
  • Phone: 815-614-8776
  • Fax:
Mailing address:
  • Phone: 815-614-8776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.306728
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: