Healthcare Provider Details

I. General information

NPI: 1881337418
Provider Name (Legal Business Name): ALEXANDER MICHAEL WIND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2022
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 WINNETKA AVE STE 3
WINNETKA IL
60093-4050
US

IV. Provider business mailing address

525 WINNETKA AVE STE 3
WINNETKA IL
60093-4050
US

V. Phone/Fax

Practice location:
  • Phone: 847-446-1112
  • Fax: 847-446-1717
Mailing address:
  • Phone: 847-446-1112
  • Fax: 847-446-1717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036176215
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: