Individual
DR. GEOFFREY R DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 S YORK RD, SUITE 4280, ELMHURST, IL 60126-5626
(331) 462-1700
(630) 758-8881
Mailing address
1200 S YORK RD, SUITE 4280, ELMHURST, IL 60126-5626
(331) 462-1700
(630) 758-8881
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
010564204A
IN
207T00000X
Neurological Surgery Physician
Primary
036109252
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0227992
ANTHEM
IN
01
—
129164100
INDIANA DEPT OF LABOR
IN
01
—
140008059
PALMETTO RR MEDICARE
IN
05
—
200371910
—
IN
Enumeration date
06/04/2006
Last updated
10/31/2012
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