Provider Demographics
NPI:1053600676
Name:BISINGER, ALEXA DOROTHEA (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:DOROTHEA
Last Name:BISINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 N FAIRBANKS CT
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5435
Mailing Address - Country:US
Mailing Address - Phone:312-472-3173
Mailing Address - Fax:312-472-3176
Practice Address - Street 1:635 N FAIRBANKS CT
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5435
Practice Address - Country:US
Practice Address - Phone:312-472-3173
Practice Address - Fax:312-472-3176
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124193207P00000X
IL036156918207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine