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NPI Code Detail

MEDICARE: ALEXANDRA MILBOURN MA

MEDICARE: ALEXANDRA MILBOURN MA
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
1101YP2500XProfessional Counselor180.017766IL

General Provider Information

NPI Number : 1558038851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MILBOURN MA
Provider Business Mailing Address
First Line : 1011 W WELLINGTON AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60657-7187
Country : US
Telephone Number : 440-251-4111
Fax Number :
Provider Business Practice Location Address
First Line : 1011 W WELLINGTON AVE STE 210
Second Line :
City : CHICAGO
State : IL
Zip : 60657-7187
Country : US
Telephone Number : 872-328-7655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2021
Last Update Date : 06/29/2026

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Directions to “ ALEXANDRA MILBOURN MA” Practice Location

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