Alexandra Jordan Douglas Phelps, MD | |
1875 Dempster St Ste 330, Park Ridge, IL 60068-1127 | |
(847) 655-8530 | |
Not Available |
Full Name | Alexandra Jordan Douglas Phelps |
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Gender | Female |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 1875 Dempster St Ste 330, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013413731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 036.174197 (Illinois) | Primary |
207V00000X | Obstetrics & Gynecology | 65854 (Tennessee) | Secondary |
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
Mailing Address | Practice Location Address |
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Alexandra Jordan Douglas Phelps, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Alexandra Jordan Douglas Phelps, MD 1875 Dempster St Ste 330, Park Ridge, IL 60068-1127 Ph: (847) 655-8530 |
Dr. James R. Dolan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1700 Luther Ln, Park Ridge, IL 60068 Phone: 847-723-8180 | |
Brian Peter Mcculloch, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Suite 325, Park Ridge, IL 60068 Phone: 847-723-8610 | |
Daisy Oceguera, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St Ste 465, Park Ridge, IL 60068 Phone: 847-825-1100 Fax: 847-825-0994 | |
Dr. Therese Wos, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 635645, Park Ridge, IL 60068 Phone: 847-825-7030 | |
Sasha Nuhn, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St Ste 465, Park Ridge, IL 60068 Phone: 847-825-1100 | |
Dr. Isabel Gomez, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1875 Dempster St, Suite 340, Park Ridge, IL 60068 Phone: 847-655-8500 |