Provider Demographics
NPI:1669665444
Name:ALEXANDER, BOZANA (MD)
Entity Type:Individual
Prefix:DR
First Name:BOZANA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7726 SUGARBUSH LN
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2400
Mailing Address - Country:US
Mailing Address - Phone:630-205-1662
Mailing Address - Fax:630-325-8944
Practice Address - Street 1:7726 SUGARBUSH LN
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2400
Practice Address - Country:US
Practice Address - Phone:630-205-1662
Practice Address - Fax:630-325-8944
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-112276207LP2900X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine