Provider Demographics
NPI:1730050568
Name:WHITFIELD-ALEXANDER, EARLINE MEKAZIN
Entity type:Individual
Prefix:
First Name:EARLINE MEKAZIN
Middle Name:
Last Name:WHITFIELD-ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21536
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60621-0471
Mailing Address - Country:US
Mailing Address - Phone:773-600-9044
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 21536
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-0471
Practice Address - Country:US
Practice Address - Phone:773-600-9044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife