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1104208362
ALEXA HARRIS TANNOUS
CHICAGO, IL
NPI
1104208362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085005472)
Enumeration Date
2015-06-24
Last Update Date
2022-11-20
Business Address
ALEXA HARRIS TANNOUS PA-C
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 219-776-0250
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Mailing Address
ALEXA HARRIS TANNOUS PA-C
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number:
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