Provider Demographics
NPI:1477276400
Name:ALEXANDER, CALEB SCOTT (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:CALEB
Middle Name:SCOTT
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DO, MPH
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Mailing Address - Street 1:2058 W FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-1205
Mailing Address - Country:US
Mailing Address - Phone:405-301-6842
Mailing Address - Fax:
Practice Address - Street 1:1775 BALLARD RD FL 2
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1005
Practice Address - Country:US
Practice Address - Phone:847-318-6020
Practice Address - Fax:847-318-2341
Is Sole Proprietor?:No
Enumeration Date:2022-09-23
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125.084699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine