Provider Demographics
NPI:1811164916
Name:SANCHEZ, ALEX AURELIO (MD)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:AURELIO
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-3759
Mailing Address - Country:US
Mailing Address - Phone:847-637-0050
Mailing Address - Fax:847-423-8965
Practice Address - Street 1:380 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-3759
Practice Address - Country:US
Practice Address - Phone:847-637-0050
Practice Address - Fax:847-423-8965
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.121934207RG0300X
FLTRN10847207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine