Organization · Type 2 NPI

Alex J MD LLC

Clinic/Center · Chicago, IL

NPI number 1932676418 Active

Practice location

355 N Canal St
Chicago, IL 60606-1207

Fax (847) 881-0822

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

Other clinic/center providers in Chicago

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NPI record

NPI: 1932676418
Entity type: Organization (Type 2)
Issued: Nov 1, 2018
Last updated: Nov 1, 2018
Status: Active

Other names

Dermacare Medical Group · doing business as
The Custom Medical Group · doing business as

Authorized official

Dr. Alexandar Jovanovich, MD
Owner/chief Medical Officer
(847) 999-9016

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1932676418

Alex J MD LLC's National Provider Identifier is 1932676418, issued on Nov 1, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Nov 1, 2018.