Dixon, Geoffrey R

Dixon, Geoffrey R is an individual health care provider with primary practice located at 1200 S York Rd Suite 4280, Elmhurst IL 60126-5626. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Dixon, Geoffrey R can be contacted via phone (331) 462-1700.

Contact Information

Primary practice address
1200 S York Rd Suite 4280 Elmhurst IL 60126-5626
Phone: (331) 462-1700
Fax: (630) 758-8881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 010564204A Indiana
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036109252 Illinois

Profile Details

NPI number 1982643359
LBN Legal business name Dixon, Geoffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Oct 31st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982643359 NPPES
Indiana MEDICAID 200371910
Indiana Other 129164100
Indiana Other 140008059
Indiana Other 0227992

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