Search › Illinois › 235Z00000X
Alexis Dettmer
NPI 1699462168 · on the registry since 2023
Practice
- Address
- 240 Hawthorne Blvd
Glen Ellyn, IL 60137 - Phone
- (163) 053-4742
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-24
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