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NPI Code Detail

MEDICARE: ZULEXIS ALCAIDE PSYD

MEDICARE: ZULEXIS ALCAIDE PSYD
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
1103TC0700XClinical Psychologist8627PR
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1669217725
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZULEXIS ALCAIDE PSYD
Provider Business Mailing Address
First Line : 17 N DEARBORN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4310
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17 N DEARBORN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60602-4310
Country : US
Telephone Number : 312-662-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 05/21/2026

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Directions to “ ZULEXIS ALCAIDE PSYD” Practice Location

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