Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEN DIZON
Active Sole ProprietorKEN DIZON is a Registered Nurse healthcare provider located in LAKE FOREST, Illinois. NPI 1184172488 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · LAKE FOREST, IL
Registration Details
- NPI Number
- 1184172488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2016 (9.9174954433766 yrs)
- Last Updated
- Sep 14, 2016
- License
-
041382652 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
660 N WESTMORELAND RDLAKE FOREST, IL, 600451659Browse IL providers · Browse ZIP 60045
- Phone
- 8472345600
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in LAKE FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN D RYLANCE | RN, APN | 1255408241 |
| VICKI B RUSSELL | RN | 1992872774 |
| BEATA CIEMIERZYNSKA | — | 1417640962 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.