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Individual

ALEXIS J DETTMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
240 HAWTHORNE BLVD, GLEN ELLYN, IL 60137-4038
(163) 053-4742
Mailing address
5716 LEE AVE, DOWNERS GROVE, IL 60516-1143
(630) 534-7428

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011647
IL

Other

Enumeration date
04/24/2023
Last updated
04/24/2023
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