Individual
ALEXIS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
215 E 1ST ST STE 310, DIXON, IL 61021-3190
(815) 285-5801
Mailing address
314 MARCLARE ST, DIXON, IL 61021-1145
(918) 533-8272
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016006000
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
016006000
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2021
Last updated
09/28/2023
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