Most Relevant Information
Provider Data
| NPI Number: | 1003565532 |
| Provider Name: | ALEXIS LYN HARMON |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2022 |
| Last Updated: | 03/22/2022 |
Provider Practice Location
225 E CHICAGO AVE
CHICAGO
IL
606112991
Practice Location Phone/Fax
| Phone: | 3122274000 |
| Fax: |
Provider Mailing Location
225 E CHICAGO AVE
CHICAGO
IL
606112991
Provider Mailing Phone/Fax
| Phone: | 3122274000 |
| Fax: |