Active NPI
Alexandra Alexopoulos
- Student in an Organized Health Care Education/Training Program
- Antioch, IL
National Provider Identifier
1356205348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 27135 W Wilmot Rd
Antioch, IL 60002-9165 - Phone
- (224) 603-2058
- Fax
- (217) 236-0801
- NPI assigned
- Dec 12, 2025
- Last updated
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IL | Primary |
Addresses
Primary practice location
27135 W Wilmot Rd
Antioch, IL 60002-9165
Mailing address
49 MJ LN Apt 2
De Soto, IL 62924-3561
Phone (847) 703-0643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1356205348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 MJ LN APT 2",
"city": "DE SOTO",
"state": "IL",
"postal_code": "629243561",
"telephone_number": "847-703-0643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27135 W WILMOT RD",
"city": "ANTIOCH",
"state": "IL",
"postal_code": "600029165",
"telephone_number": "224-603-2058",
"fax_number": "217-236-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXOPOULOS",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.