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

Alexandra Buckwalter, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750138939

Alexandra Buckwalter, MD is a Student in an Organized Health Care Education/Training Program in Dixon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

102 S Hennepin Ave
Dixon, IL 61021-3013
Phone: (815) 285-8520
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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 125084151 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750138939
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 4, 2024
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing address102 S Hennepin Ave, Dixon, IL 61021-3013

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