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General NPI Number Information
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NPI Number | 1982643359
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Entity Type | Individual
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Provider Name | GEOFFREY R DIXON MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 1200 S YORK RD SUITE 4280
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City | ELMHURST
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State | IL
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Zip | 60126-5626
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Country | US
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Telephone | 331-462-1700
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Fax | 630-758-8881
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Provider Business Mailing Address
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Address Line | 1200 S YORK RD SUITE 4280
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City | ELMHURST
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State | IL
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Zip | 60126-5626
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Country | US
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Telephone | 331-462-1700
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Fax | 630-758-8881
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 010564204A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036109252
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License Number State | IL
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