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NPI Code Detail

MEDICARE: ALEJANDRA M MARINELARENA MD PHD

MEDICARE: ALEJANDRA M MARINELARENA MD PHD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RH0003XHematology & Oncology Physician036165507IL

General Provider Information

NPI Number : 1831726256
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA M MARINELARENA MD PHD
Provider Business Mailing Address
First Line : 251 E HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3055
Country : US
Telephone Number : 312-926-2000
Fax Number :
Provider Business Practice Location Address
First Line : 251 E HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3055
Country : US
Telephone Number : 312-926-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 05/26/2026

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