| Deidre Alexander Psyd Sc | |
|
1000 Jorie Blvd Ste 119 Oak Brook IL 60523-4463 | |
| (630) 309-2989 | |
| (630) 790-3804 |
| Full Name | Deidre Alexander Psyd Sc |
|---|---|
| Speciality | Psychologist |
| Location | 1000 Jorie Blvd Ste 119, Oak Brook, Illinois |
| Authorized Official Name and Position | Dc Mcauliffe (ASSISTANT) |
| Authorized Official Contact | 7087126183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deidre Alexander Psyd Sc 1000 Jorie Blvd Ste 119 Oak Brook IL 60523-4463 Ph: (630) 309-2989 | Deidre Alexander Psyd Sc 1000 Jorie Blvd Ste 119 Oak Brook IL 60523-4463 Ph: (630) 309-2989 |
| NPI Number | 1528325438 |
|---|---|
| Provider Enumeration Date | 04/16/2012 |
| Last Update Date | 09/27/2018 |
| Medicare PECOS PAC ID | 8729234760 |
|---|---|
| Medicare Enrollment ID | O20120808000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528325438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 017.008341 (Illinois) | Primary |
| Provider Name | Deidre M Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851405807 PECOS PAC ID: 5991951931 Enrollment ID: I20120808000150 |
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