Individual
MS. IDA M DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4150 S BERKELEY AVE, CHICAGO, IL 60653-3010
(773) 285-9100
(773) 451-2770
Mailing address
4150 S BERKELEY AVE, CHICAGO, IL 60653-3010
(773) 285-9100
(773) 451-2770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.009287
IL
Other
Enumeration date
12/13/2011
Last updated
05/09/2012
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