Provider Demographics
NPI:1467140137
Name:GAUGER, ALEXANDRA B (DNP, APRN, CNP)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:B
Last Name:GAUGER
Suffix:
Gender:F
Credentials:DNP, APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4732 N LINCOLN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-8561
Mailing Address - Country:US
Mailing Address - Phone:312-926-3627
Mailing Address - Fax:312-694-7291
Practice Address - Street 1:4732 N LINCOLN AVE STE 200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-8561
Practice Address - Country:US
Practice Address - Phone:312-926-3627
Practice Address - Fax:312-694-7291
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.028619207R00000X
IL209028619363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine