MEDICARE: SAVANNAH DIXON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5201010873	MI

General Provider Information

NPI Number	:	1114547874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH DIXON

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	890 COLUMBIA AVE W STE A
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-3021
Country	:	US
Telephone Number	:	269-261-0916
Fax Number	:	269-224-9582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	02/05/2025

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Directions to “ SAVANNAH DIXON ” Practice Location

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