Individual
MR. JOHN CHARLES DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 544-6464
Mailing address
2737 S 4TH ST APT A, SPRINGFIELD, IL 62703-4091
(217) 685-7964
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
IL
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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