Provider Demographics
NPI:1184602732
Name:TOSIOU, ALEX STEVE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:STEVE
Last Name:TOSIOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 N WESTMORELAND RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-1673
Mailing Address - Country:US
Mailing Address - Phone:847-295-1300
Mailing Address - Fax:847-295-1574
Practice Address - Street 1:800 N WESTMORELAND RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-1673
Practice Address - Country:US
Practice Address - Phone:847-295-1300
Practice Address - Fax:847-295-1574
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2021-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036093289207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDH09214Medicare UPIN
ILL75328Medicare ID - Type Unspecified