Alix A Charles, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Practice address

68 Ambrogio Dr
Ste 103
Gurnee, IL 60031-3339

Phone

(847) 244-0401

Fax

(847) 244-0445

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Medical & Wellness of Spring Hill, S.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carpentersville, IL
  • NPI 1366408387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609901693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 AMBROGIO DR",
            "address_2": "STE 103",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313339",
            "telephone_number": "847-244-0401",
            "fax_number": "847-244-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 AMBROGIO DR",
            "address_2": "STE 103",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313339",
            "telephone_number": "847-244-0401",
            "fax_number": "847-244-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ALIX",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Catenacci, MD
• Michael Cavanaugh, M.D.
• Center for Pelvic Wellness, Inc.
• Samra Cerim, APN-CNP
• Samarendra Chandel, MD
• Alejandra Chavez Hernandez
• Janeth Chavez-Villa
• Melissa Chen, M.D.
• Kaitlyn Cheney, FNP-BC
• Tien C Cheng, M.D.

• Physical Medicine & Rehabilitation Physician in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.