Individual
GLADYS M NIXON-HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6721 CEDAR LN APT 2, WESTMONT, IL 60559-3340
(630) 964-6124
(630) 964-3564
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
(630) 682-7400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2005-546
IL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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