Provider Demographics
NPI:1548712300
Name:ALEXE, LUMINITA (ND)
Entity type:Individual
Prefix:DR
First Name:LUMINITA
Middle Name:
Last Name:ALEXE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10108 N CLARK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IL
Mailing Address - Zip Code:60071-9620
Mailing Address - Country:US
Mailing Address - Phone:224-387-8992
Mailing Address - Fax:
Practice Address - Street 1:1600 GOLD ROAD
Practice Address - Street 2:SUITE 1200
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008
Practice Address - Country:US
Practice Address - Phone:224-387-2204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND832175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath