Clyde Dawson, M.D.

Surgery Physician · Joliet, IL

Individual Active NPI

NPI number 1174557086

Practice location

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone
(815) 725-2121
Fax
(815) 741-6303

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NPI record

NPI
1174557086
Entity type
Individual (Type 1)
Enumeration date
July 10, 2006
Last updated
October 1, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 36-063983 IL

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone
(815) 725-2121

About Dr. Dawson

Clyde Dawson, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2100 Glenwood Ave, Joliet, IL 60435-5487. The NPI number 1174557086 was assigned on July 10, 2006 and the record was last updated on October 1, 2015.

Dr. Dawson lists a license in the registry: #36-063983 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Clyde Dawson, M.D.?

The NPI number is 1174557086.

What is the phone number of Dr. Dawson?

The phone number listed for the practice location is (815) 725-2121.

Where is Dr. Dawson located?

2100 Glenwood Ave, Joliet, IL 60435-5487.

What is the taxonomy code for Dr. Dawson?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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