Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301096349 | MI |
N | 111NI0900X | Internist | 4301096349 | MI |
Y | 207RX0202X | Medical Oncology | 036143870 | IL |
N | 207RX0202X | Medical Oncology | 4301096349 | MI |
NPI | 1134448665 |
---|---|
Provider Name | Dr. Alexander Thomas Pearson |
First Address | Burr Ridge, IL 60527-6686 |
Second Address | Chicago, IL 60637-1447 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2010 |
Last Update Date | 17/03/2018 |