Organization Active NPI

Dawonderyears Inc

  • Developmental Therapist
  • Chicago, IL
National Provider Identifier
1407422322
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
DAWONDERYEARS INC
Practice address
47 W Division St Ste 211
Chicago, IL 60610-2954
Phone
(773) 474-4199
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Charlene MackNPI 1285209098
Title
President
Phone
(773) 474-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary

Addresses

Primary practice location

47 W Division St Ste 211
Chicago, IL 60610-2954

Mailing address

47 W Division St Ste 211
Chicago, IL 60610-2954

National Provider Directory

National Provider Directory

Locations

47 W Division St
Ste 211
Chicago, IL 60610
Phone (773) 474-4188

Practitioners & affiliated clinicians

Practitioners 1

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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1407422322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 W DIVISION ST STE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 W DIVISION ST STE 211",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102954",
            "telephone_number": "773-474-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWONDERYEARS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-474-4188"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "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 Jun 1, 2021; 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.