Provider Demographics
NPI:1730624750
Name:LAUBERSHEIMER, ALEXIS (FNP)
Entity type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:
Last Name:LAUBERSHEIMER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 SHERWOOD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-2234
Mailing Address - Country:US
Mailing Address - Phone:847-232-3447
Mailing Address - Fax:224-678-0001
Practice Address - Street 1:1170 E BELVIDERE RD STE 203
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2076
Practice Address - Country:US
Practice Address - Phone:847-278-4059
Practice Address - Fax:224-678-0001
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015376363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily