Jerome Alexander
Technician, Attendant Care Provider in Joliet, IL. Individual provider (NPI-1).
NPI number1104795616
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1104795616
- Entity type
- Individual (NPI-1)
- Name
- Jerome Alexander
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2025
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | IL | Yes |
Practice location
1109 Cutter AveJoliet, IL 60432-1366
Phone 312-866-0497
Mailing address
1109 Cutter AveJoliet, IL 60432-1366
Phone 312-866-0497
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