Individual provider · Type 1 NPI

Alexandra Lee Lunneborg

Nurse Practitioner · Chicago, IL

NPI number 1114713146 Active

Practice location

1520 W Harrison St
Chicago, IL 60607-3106

Other practice locations

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 · (888) 824-0200
  • 4440 W 95th St, Oak Lawn, IL 60453-2600 · (708) 684-5580

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041514411 (IL)
Registered Nurse 163W00000X2465297 (MN)
Pediatric Nurse Practitioner 363LP0200X209-033382 (IL)
Nurse Practitioner Primary 363L00000X209.033382 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114713146

Alexandra Lee Lunneborg's National Provider Identifier is 1114713146, issued on Apr 16, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 2, 2026.