Healthcare Provider Details

I. General information

NPI: 1568386266
Provider Name (Legal Business Name): AALIYAH NIX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 S WESTERN AVE
CHICAGO IL
60609-2259
US

IV. Provider business mailing address

4518 W VAN BUREN ST
CHICAGO IL
60624-3050
US

V. Phone/Fax

Practice location:
  • Phone: 312-995-4412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: