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NPI Code Detail

MEDICARE: ALEXANDRA ANDES

MEDICARE: ALEXANDRA ANDES
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
1207V00000XObstetrics & Gynecology Physician036162751IL

General Provider Information

NPI Number : 1104455831
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA ANDES
Provider Business Mailing Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 N MICHIGAN AVE STE 300
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4495
Country : US
Telephone Number : 312-726-3917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2020
Last Update Date : 08/02/2024

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Directions to “ ALEXANDRA ANDES ” Practice Location

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