Organization
INDIVIDUALIZED AGING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASENATH L DIXON LCSW (PRESIDENT CEO)
(312) 842-4858
Entity
Organization
Contact information
Practice address
533 E 33RD PL, 303, CHICAGO, IL 60616-4112
(312) 842-4858
(312) 225-5076
Mailing address
533 E 33RD PL, 303, CHICAGO, IL 60616-4112
(312) 842-4858
(312) 225-5076
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
04/05/2007
Last updated
08/22/2020
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