Individual provider · Type 1 NPI

Ethan Dixon, BSN, RN

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1902705692 Active

Practice location

4039 N Oakley Ave
Chicago, IL 60618-9036

Call (217) 371-6999 Map

Mailing address

4039 N Oakley Ave Apt 2
Chicago, IL 60618-9036

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902705692

Ethan Dixon, BSN, RN's National Provider Identifier is 1902705692, issued on Nov 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Nov 2, 2026.