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Individual

LAURA DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1520 W HARRISON ST FL 10, CHICAGO, IL 60607-3106
(312) 942-5000
Mailing address
3132 N CLIFTON AVE APT 1S, CHICAGO, IL 60657-3343
(773) 844-0465

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
041.449109
IL
363L00000X
Nurse Practitioner
Primary
209029383
IL

Other

Enumeration date
10/11/2023
Last updated
03/07/2024
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