Individual
ANNA LEIGH DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP-PC
Contact information
Practice address
2515 N CLARK ST STE 803, CHICAGO, IL 60614-2730
(312) 227-6331
Mailing address
4112 N CALIFORNIA AVE UNIT 1, CHICAGO, IL 60618-2705
(224) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209010167
IL
Other
Enumeration date
01/25/2013
Last updated
01/27/2022
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