Provider Demographics
NPI:1033454418
Name:GORMAN, ALEXIS C (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:C
Last Name:GORMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:315 S NAPERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-5423
Mailing Address - Country:US
Mailing Address - Phone:630-221-0200
Mailing Address - Fax:630-221-0295
Practice Address - Street 1:1751 S NAPERVILLE RD STE 107
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-5896
Practice Address - Country:US
Practice Address - Phone:847-884-8488
Practice Address - Fax:847-884-8448
Is Sole Proprietor?:No
Enumeration Date:2012-12-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012326111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor