Provider Demographics
NPI:1912930611
Name:LAMBROU, ALEXANDRA FANELLIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:FANELLIS
Last Name:LAMBROU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2010 S ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4134
Mailing Address - Country:US
Mailing Address - Phone:847-758-2080
Mailing Address - Fax:847-758-2084
Practice Address - Street 1:2010 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4134
Practice Address - Country:US
Practice Address - Phone:847-758-2080
Practice Address - Fax:847-758-2084
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2010-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036070587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILG20809Medicare UPIN