SearchIllinois2255A2300X

Alexis Maxwell

NPI 1043953839 · on the registry since 2022 · sole proprietor

Practice

Address
225 Marquette St
Creve Coeur, IL 61610
Phone
(309) 678-4807

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois