Healthcare Provider Details

I. General information

NPI: 1588452791
Provider Name (Legal Business Name): ALEXIS BROWN-DOANE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 PLAINFIELD RD STE D
WILLOWBROOK IL
60527-7608
US

IV. Provider business mailing address

535 PLAINFIELD RD STE D
WILLOWBROOK IL
60527-7608
US

V. Phone/Fax

Practice location:
  • Phone: 630-277-9018
  • Fax:
Mailing address:
  • Phone: 630-277-9018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085.012486
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: