Organization Active NPI

William L. Dawson Nursing Center Inc.

  • Skilled Nursing Facility
  • Chicago, IL
National Provider Identifier
1235127853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0020404 Issued in IL
Legal business name
WILLIAM L. DAWSON NURSING CENTER INC.
Practice address
3500 S Giles Ave
Chicago, IL 60653-1106
Phone
(312) 326-2000
Fax
(312) 326-5753
NPI assigned
Oct 7, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pamela Orr
Title
Administrator
Phone
(312) 326-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0020404 IL Primary

Addresses

Primary practice location

3500 S Giles Ave
Chicago, IL 60653-1106

Mailing address

3500 S Giles Ave
Chicago, IL 60653-1106
Phone (312) 326-2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235127853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S GILES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531106",
            "telephone_number": "312-326-2000",
            "fax_number": "312-326-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S GILES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531106",
            "telephone_number": "312-326-2000",
            "fax_number": "312-326-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. DAWSON NURSING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-326-2000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0020404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.