DR. DORA DEAN DIXIE (NPI# 1225092919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225092919 |
| Entity Type | Individual |
| Full Name | DR. DORA DEAN DIXIE |
| Credential | MD |
| Practice Address |
500 E 51st St Chicago IL 60615-2400 |
| Mailing Address |
5421 S Cornell Ave Unit 13 Chicago IL 60615-5646 |
| Practice Telephone | 3125722000 |
| Mailing Telephone | 7733245044 |
| Mailing Fax Number | 7733244604 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
500 E 51ST ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919061 | Clyniece Lois Watson | Pediatrics | 500 E 51st St, Department of Pediatrics, Chicago, IL 60615-2400 | 2006-02-06 |
| 1598379430 | Chidinma Nwokocha | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2020-09-08 |
| 1235760224 | Cook County | Family Medicine | 500 E 51st St, Chicago, IL 60615-2400 | 2020-01-29 |
| 1013489814 | Margaret Hennessy | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2018-12-19 |
| 1477021913 | Cook County | Clinic/Center | 500 E 51st St, Chicago, IL 60615-2400 | 2018-11-02 |
| 1487135208 | Dianna Denise Hilson | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2018-08-29 |
| 1497271571 | Colleen Minnie Hallinan | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2017-08-20 |
| 1184171159 | Charlia Arbo | Pharmacist | 500 E 51st St, 430 East 50th Place, Chicago, IL 60615-2400 | 2016-09-07 |
| 1205204542 | Bria Jena Mays | Occupational Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2015-09-03 |
| 1891194643 | Mark Lower | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2014-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538469739 | John Thomas Johns Jr. | Family Medicine | 210 N. Ashland, Chicago, IL 60607-1402 | 2010-10-22 |
| 1205979028 | Gloria J Mouzon | Family Medicine | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2007-02-14 |
| 1841251378 | Britt Michael Borden | Family Medicine | 180 N Stetson Ave, Chicago, IL 60601-6710 | 2006-04-02 |
| 1992704381 | James Edward Beckett | Family Medicine | 326 W 64th St, St Bernard Hospital Dept Radiology, Chicago, IL 60621-3114 | 2005-07-18 |
| 1558736512 | Hemlata P Vaidya | Family Medicine | 3520 S Ashland Ave, Chicago, IL 60609-1317 | 2015-12-02 |
| 1528384567 | Dr. J. Wesley Cook, D.o., LLC | Family Medicine | 2001 W Addison St, Chicago, IL 60618-6132 | 2010-04-15 |
| 1538379516 | Humberto Vergara Md & Associates Sc | Family Medicine | 1431 N Western Ave, Suite 205, Chicago, IL 60622-1797 | 2007-05-22 |
| 1124004262 | Humberto Vergara | Family Medicine | 1431 N Western Ave, Suite 205, Chicago, IL 60622-1797 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609303320 | Brianne C Brown | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2017-05-11 |
| 1649553892 | Physicians Community Medical Center North, S.c. | Family Medicine | 5320 159th St # 2n, Oak Forest, IL 60452-4705 | 2011-09-23 |
| 1548447956 | Total Care Medical Clinic | Family Medicine | 6929 Ogden Ave, Berwyn, IL 60402-3649 | 2008-01-28 |
| 1760448674 | Richard J Ready | Family Medicine | 999 Oakmont Plaza Dr Ste 100, Westmont, IL 60559-1381 | 2006-04-21 |
| 1912519786 | Shark Addiction Treatment | Family Medicine | 1111 N Milwaukee Ave Unit 242, Vernon Hills, IL 60061-1658 | 2020-08-21 |
| 1831748573 | Recoveruscenters-carbondale LLC | Family Medicine | 2250 Reed Station Pkwy Ste 204, Carbondale, IL 62901-8104 | 2019-09-05 |
| 1609303940 | Great Heights Medical Ltd. | Family Medicine | 315 E Mckinley Rd, Ottawa, IL 61350-4805 | 2017-05-17 |
| 1396173134 | Complete Medical Care, S.c. | Family Medicine | 3315 Algonquin Rd, Suite 100, Rolling Meadows, IL 60008-3257 | 2013-10-14 |
| 1629238746 | Shalu P. Gugnani | Family Medicine | 901 W Kirchhoff Rd, Arlington Heights, IL 60005-2361 | 2008-06-12 |
| 1154539435 | Comprehensive Medical Management Services Ltd | Family Medicine | 1473 Ring Rd, Calumet City, IL 60409-5459 | 2007-05-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.