Organization Active NPI

Dawn Diagnostics Imaging Group Inc.

  • Diagnostic Radiology Physician
  • Skokie, IL
National Provider Identifier
1174839575
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
DAWN DIAGNOSTICS IMAGING GROUP INC.
Practice address
8023 Kilpatrick Ave Apt 1a
Skokie, IL 60076-3055
Phone
(847) 840-6761
Fax
(844) 364-6372
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Imtiaz H Awan
Title
President
Phone
(847) 840-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

8023 Kilpatrick Ave Apt 1a
Skokie, IL 60076-3055

Mailing address

8023 Kilpatrick Ave Apt 1a
Skokie, IL 60076-3055
Phone (847) 840-6761

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.google.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220126002061 IL Part B Supplier - Clinic/Group Practice 8527450477 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory
Tax ID family
Dawn Diagnostics Imaging Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3050 W Devon Ave
#4
Chicago, IL 60659

2321 W Devon Ave
Chicago, IL 60659
Phone (630) 563-1006

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1174839575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8023 KILPATRICK AVE APT 1A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763055",
            "telephone_number": "847-840-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8023 KILPATRICK AVE APT 1A",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763055",
            "telephone_number": "847-840-6761",
            "fax_number": "844-364-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN DIAGNOSTICS IMAGING GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "AWAN",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-840-6761"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.google.com",
            "affiliation": "N",
            "address_1": "6422 N Western Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606455422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.