Individual
TAHJI RASHAAD DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 N HUMPHREY AVE APT 1, OAK PARK, IL 60302-2577
(708) 539-2701
Mailing address
178 N HUMPHREY AVE APT 1, OAK PARK, IL 60302-2577
(708) 539-2701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041441760
IL
367500000X
Certified Registered Nurse Anesthetist
041441760
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209030681
IL
Other
Enumeration date
08/26/2022
Last updated
01/16/2025
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