IndividualActive
Alexandra Bullough, MD
NPI 1407874829 · Anesthesiology Physician · Maywood, IL
Provider details
- NPI number
- 1407874829
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 113000064 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2160 S. 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
Approximate (ZIP-level) locationGet directions
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2015-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.