| Alexis Holdings Llc | |
|
2061 Timberbrook Dr Springfield IL 62702-4626 | |
| (217) 622-5929 | |
| Not Available |
| Full Name | Alexis Holdings Llc |
|---|---|
| Speciality | Dentist |
| Location | 2061 Timberbrook Dr, Springfield, Illinois |
| Authorized Official Name and Position | Albert Capati (OWNER) |
| Authorized Official Contact | 2177178278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Holdings Llc 2061 Timberbrook Dr Springfield IL 62702-4626 Ph: (217) 717-8278 | Alexis Holdings Llc 2061 Timberbrook Dr Springfield IL 62702-4626 Ph: (217) 622-5929 |
| NPI Number | 1710363247 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710363247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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