Individual
LETISHA SIMONE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
1032 BLAZING STAR ST, SOUTH ELGIN, IL 60177-3122
(862) 812-0524
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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