J Antonio V Dizon M.D.

NPI 1669510954 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1669510954
Gender Male
Enumeration Date 02/01/2007
Last Updated 04/21/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1211 S PRAIRIE AVE
SUITE 5505
CHICAGO IL, 60605-3645, US
Phone (312) 362-0250
Fax (312) 362-0250
Business Location
1211 S PRAIRIE AVE
SUITE 5505
CHICAGO IL, 60605-3645, US
Phone (312) 362-0250
Fax (312) 362-0250
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 36085219
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According to our database, Dr. J Antonio V Dizon M.D. NPI is 1669510954, taxonomy code is 2084P0800X and license number is 36085219, license state is located at Illinois. J Antonio V Dizon M.D. physically located at 1211 S Prairie Ave, Chicago IL, 60605-3645. NPI Number J Antonio V Dizon M.D. has the Individual type.

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1669510954 NPI number is provided on an as is basis without warranty of any kind. 1669510954 is maintained by the National Plan & Provider Enumeration System. The contents of J Antonio V Dizon M.D. are for informational purposes only.