| Alexandra N. Douvas | |
|
20180 Governors Hwy, Ste 104 Olympia Fields IL 60461 | |
| (708) 283-2207 | |
| Not Available |
| Full Name | Alexandra N. Douvas |
|---|---|
| Speciality | Dentist |
| Location | 20180 Governors Hwy, Ste 104, Olympia Fields, Illinois |
| Authorized Official Name and Position | Alexandra N. Douvas (PRESIDENT) |
| Authorized Official Contact | 7082832207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra N. Douvas 3950 N. Lake Shore Dr, Unit 430 Chicago IL 60613 Ph: (708) 283-2207 | Alexandra N. Douvas 20180 Governors Hwy, Ste 104 Olympia Fields IL 60461 Ph: (708) 283-2207 |
| NPI Number | 1619484110 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 01/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619484110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019022594 (Illinois) | Primary |
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