MEDICARE: SIGRID ALEXANDERSEN

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	101YP2500X	Professional Counselor	178010394	IL

General Provider Information

NPI Number	:	1124493002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIGRID ALEXANDERSEN

Provider Business Mailing Address
First Line	:	100 W CHESTNUT ST
Second Line	:	#604
City	:	CHICAGO
State	:	IL
Zip	:	60610-3225
Country	:	US
Telephone Number	:	312-213-2530
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 W CHESTNUT ST
Second Line	:	#604
City	:	CHICAGO
State	:	IL
Zip	:	60610-3225
Country	:	US
Telephone Number	:	312-213-2530
Fax Number	:

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

Provider Enumeration Date	:	12/03/2015
Last Update Date	:	12/03/2015

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Directions to “ SIGRID ALEXANDERSEN ” Practice Location

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