ALEX J MD LLC (NPI# 1932676418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932676418 |
| Entity Type | Organization |
| Organization Name | ALEX J MD LLC |
| Practice Address |
355 N Canal St Chicago IL 60606-1207 |
| Practice Telephone | 8477572376 |
| Practice Fax Number | 8478810822 |
| Mailing Telephone | 8477572376 |
| Mailing Fax Number | 8478810822 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | DR. ALEXANDAR JOVANOVICH (OWNER/CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 8479999016 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DERMACARE Medical Group | Doing Business As Name - Organization |
| The Custom Medical Group | Doing Business As Name - Organization |
| Street Address |
355 N CANAL ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60606-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588959662 | Alexandar Jovanovich | Family Medicine | 355 N Canal St, Chicago, IL 60606-1207 | 2011-06-16 |
| 1437759990 | Bianca Theresa Villavaso | Nurse Practitioner | 355 N Canal St, Chicago, IL 60606-0006 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286462 | James Topolski | Counselor | 150 S Wacker Driver, Ste 2400, Chicago, IL 60606 | 2020-05-13 |
| 1124500046 | R.c. & Associates LLC | Marriage & Family Therapist | 150 South Wacker Drive, #2400, Chicago, IL 60606 | 2018-09-06 |
| 1720581101 | Arch Angel Services | Counselor | 10 S. Riverside Plaza, Suite 875, Chicago, IL 60606 | 2018-03-13 |
| 1316453178 | Johanna Richter Nutrition & Wellness LLC | Dietitian, Registered | 211 W Wacker Dr Ste 230, Chicago, IL 60606 | 2017-12-15 |
| 1215466792 | Kelly Albers | Physical Therapist | 125 South Wacker Drive, 475, Chicago, IL 60606 | 2017-06-08 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1255880555 | Katie Marie Edwards-humpal | Nurse Practitioner | 225 W Washington 2floor, Chicago, IL 60606 | 2016-09-27 |
| 1922454255 | Revolution Physical Therapy Weight Loss | Clinic/Center | 205 N. Wells St., Chicago, IL 60606 | 2016-05-05 |
| 1558725101 | Robin Weber | Physical Therapy Assistant | 205 N. Wells Street, Chicago, IL 60606 | 2016-04-11 |
| 1427439041 | Kathleen Habschmidt | Physical Therapist | 1020 W Wacker Dr, Suite 205, Chicago, IL 60606 | 2015-06-10 |
| Find all providers in zip 60606 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.