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MS. IDA M DIXON FNP
NPI 1871861260
Nurse Practitioner - Family in Chicago, IL

Active since December 13, 2011
4150 S BERKELEY AVE, CHICAGO, IL 60653(773) 285-9100(773) 451-2770 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Ida M Dixon Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. IDA M DIXON FNP (NPI 1871861260) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.009287) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1871861260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. IDA M DIXONCredential: FNP
Location Address4150 S BERKELEY AVEChicago, IL 60653-3010
Mailing Address4150 S Berkeley AveChicago, IL 60653-3010 · (773) 285-9100 · Fax (773) 451-2770
Phone(773) 285-9100
Fax(773) 451-2770
Sole ProprietorYes
Enumeration DateDecember 13, 2011
Last NPPES UpdateMay 9, 2012
✔ NPI 1871861260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.009287
4150 S BERKELEY AVE, Chicago, IL 60653
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVING WELL HEALTH MANAGEMENT INC
Exclusive Provider Organization
4150 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 285-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ida Dixon's NPI number?

The NPI number for Ida Dixon is 1871861260. It was assigned to this individual provider in the NPPES registry on December 13, 2011.

Where is Ida Dixon located?

Ida Dixon practices at 4150 S Berkeley Ave, Chicago, IL 60653. The listed phone number is (773) 285-9100.

What is Ida Dixon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ida Dixon was last updated on May 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.