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Alec Small, DO — NPI 1700464526, Kenosha, WI | NPI Central

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Alec Small, DO

NPI 1700464526 · Emergency Medicine Physician · Kenosha, WI

Provider details

NPI number: 1700464526
Entity type: Individual
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: 036.166609 (IL)

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000XLicense 81508-21 (WI)
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000XLicense 036.166609 (IL)
Allopathic & Osteopathic Physicians

Practice location

10400 75th St

Kenosha, WI 53142-7884

Phone: (262) 948-5600

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

808 S Wood St Rm 469a

Chicago, IL 60612-7300

Additional practice locations (2)

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (866) 600-2273
1775 Dempster St
Park Ridge, IL 60068-1143
Phone: (847) 723-5150
Fax: (847) 318-2949

Registry dates

Enumerated: 2021-04-01
Last updated: 2024-09-17
Certified: 2024-09-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.