Individual
DR. DAVID MICHAEL DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201
(847) 570-2287
(847) 570-2921
Mailing address
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2287
(847) 570-2921
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125054403
IL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
036132595
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036132595
IL
Other
Enumeration date
06/17/2010
Last updated
10/30/2018
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