Provider Demographics
NPI:1770949067
Name:BESTERFELDT, ALEKSANDRA (ANP)
Entity type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:BESTERFELDT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34259 N HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-4267
Mailing Address - Country:US
Mailing Address - Phone:847-338-1475
Mailing Address - Fax:
Practice Address - Street 1:2534 ELIM AVE
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-2661
Practice Address - Country:US
Practice Address - Phone:847-338-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-03
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209013714363LA2200X
IL277.000300363LA2200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health