Individual
DR. OLIVIA N. DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3122 W SHERWIN AVE, CHICAGO, IL 60645-1136
(773) 603-8122
Mailing address
3122 W. SHERWIN AVE, CHICAGO, IL 60645
(773) 603-8122
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.071245
IL
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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