Provider Demographics
NPI:1356662746
Name:DORE, LEXIE JEANNE (MD)
Entity Type:Individual
Prefix:
First Name:LEXIE
Middle Name:JEANNE
Last Name:DORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:JEANNE
Other - Last Name:HAUGHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3647 N HERMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-3506
Mailing Address - Country:US
Mailing Address - Phone:309-825-6472
Mailing Address - Fax:
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:312-926-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-20
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01073568A207P00000X
IL036133550207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine