Individual
ALICE C NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2535 TECHNY RD, NORTHBROOK, IL 60062-5961
(847) 291-7020
Mailing address
2535 TECHNY RD, NORTHBROOK, IL 60062-5961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016-71302
BLUE CROSS
IL
Enumeration date
08/16/2006
Last updated
07/08/2007
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