Individual
DR. DEWEY G DIXON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
426 S BLANCHE ST, MOUNDS, IL 62964-1108
(618) 745-6894
(618) 745-6113
Mailing address
426 S BLANCHE ST, MOUNDS, IL 62964-1108
(618) 745-6894
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38-005019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131779
HEALTHLINK
IL
01
—
7782002
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/15/2006
Last updated
12/19/2014
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