Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander S Mortensen, MDMPH

Individual provider Family Medicine Physician · NPI 1780293969

Alexander S Mortensen, MDMPH is a Family Practice in Chicago, Illinois. Qualified in 2018, 8 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
8
Licensed in
IL, WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1460 N Halsted St Ste 504
Chicago, IL 60642-2613
Phone: (312) 926-3627
Fax: (312) 926-3231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036176512 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 9539 (WI)

Record details

NPI number1780293969
Entity typeIndividual (Type 1)
GenderMale
Credentials MDMPH
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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