MEDICARE: ALEXIS NICOLE BOND M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036127981	IL

General Provider Information

NPI Number	:	1063687978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS NICOLE BOND M.D.

Provider Business Mailing Address
First Line	:	3335 N ARLINGTON HEIGHTS RD STE C&D
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1573
Country	:	US
Telephone Number	:	847-788-8300
Fax Number	:	847-788-8306

Provider Business Practice Location Address
First Line	:	3335 N ARLINGTON HEIGHTS RD STE C&D
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1573
Country	:	US
Telephone Number	:	847-788-8300
Fax Number	:	847-788-8306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	12/10/2021

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