NPI 1043696966

Rohsaan Alexander

Practitioner Contractor Chicago, IL

Practice location

Address: 8212 S Escanaba Ave, Chicago, IL 60617-2119
Phone: (773) 910-2056

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1043696966
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2015
Record last updated: 3 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.