Individual
KATHARINE EMILY DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.128653
IL
Other
Enumeration date
03/24/2009
Last updated
02/19/2013
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