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NPI Code Detail

MEDICARE: ALEJANDRA GARCIA

MEDICARE: ALEJANDRA GARCIA
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
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1407790371
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA GARCIA
Provider Business Mailing Address
First Line : 5012 S LAPORTE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2108
Country : US
Telephone Number : 773-489-0211
Fax Number :
Provider Business Practice Location Address
First Line : 1250 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-2225
Country : US
Telephone Number : 800-222-6544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ ALEJANDRA GARCIA ” Practice Location

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