Individual
DR. JACINTO ANTONIO V DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 S PRAIRIE AVE, SUITE 5505, CHICAGO, IL 60605
(847) 212-9809
Mailing address
1211 S PRAIRIE AVE, SUITE 5505, CHICAGO, IL 60605-3645
(847) 212-9809
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36085219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36085219
—
IL
Enumeration date
02/01/2007
Last updated
06/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us