Provider Demographics
NPI:1104243070
Name:ALEXANDER, JAIME BETH (MD)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:BETH
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9933 WOODS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1049
Mailing Address - Country:US
Mailing Address - Phone:847-663-8060
Mailing Address - Fax:847-663-1027
Practice Address - Street 1:9933 WOODS DR STE 200
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1049
Practice Address - Country:US
Practice Address - Phone:847-663-8060
Practice Address - Fax:847-663-1027
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036150966207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology