Provider Demographics
NPI:1922202456
Name:DIXIT, SACHIN NARENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SACHIN
Middle Name:NARENDRA
Last Name:DIXIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1796 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-1899
Mailing Address - Country:US
Mailing Address - Phone:630-407-0298
Mailing Address - Fax:
Practice Address - Street 1:29 ORLAND SQUARE DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-3206
Practice Address - Country:US
Practice Address - Phone:708-403-2600
Practice Address - Fax:708-403-2312
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036116980207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine