Ingrid I Alexander
Allergist & Immunologist Pediatric Allergist
2901 Old Jacksonville Rd
Springfield
, Illinois 62704-7437
Ingrid I Alexander
Allergist & Immunologist Pediatric Allergist
2901 Old Jacksonville Rd
Springfield
, Illinois 62704-7437
(217) 670-2809
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About
Features
Specialties
- Allergist & Immunologist
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Ingrid I Alexander
- 2901 Old Jacksonville Rd
- Springfield, IL
- Zip : 62704-7437
- Fax : (217) 670-2809
- Phone : (217) 670-2424
Second Address
- Ingrid I Alexander
- 2901 Old Jacksonville Rd
- Springfield, IL
- Zip : 62704-7437
- Fax : (217) 391-0392
- Phone : (217) 698-9722
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 036062338 | IL |
| N | 2080P0201X | Pediatric Allergist | 036062338 | IL |
National Provider Identifier
| NPI | 1144269531 |
|---|---|
| Provider Name | Ingrid I Alexander |
| First Address | Springfield, IL 62704-7437 |
| Second Address | Springfield, IL 62704-7437 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2006 |
| Last Update Date | 24/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 020057300 | BLACK LUNG (01) | IL |
| 036062338 | (05) | IL |
| 036062338 | IL STATE LICENSE (01) | IL |
| 08421024 | BC/BS (01) | IL |
| 109819 | HEALTHLINK (01) | IL |
| 133586700 | ACS-OWCP (01) | IL |
| 14D0949277 | CLIA (01) | IL |
| 310033 | PERSONAL CARE (01) | IL |
| C43685 | (02) | |
| CD7143 | RR MEDICARE GROUP (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.