Provider Demographics
NPI:1821465873
Name:MESSINA, ALESSANDRA (MED)
Entity Type:Individual
Prefix:MRS
First Name:ALESSANDRA
Middle Name:
Last Name:MESSINA
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 DEGENER AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5401
Mailing Address - Country:US
Mailing Address - Phone:708-243-9447
Mailing Address - Fax:
Practice Address - Street 1:1215 DEGENER AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5401
Practice Address - Country:US
Practice Address - Phone:708-243-9447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst