Active NPI
Evelyn L Dawis, MD
- Anesthesiology Physician
- Harvard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 36-104916
- Practice address
- 901 Grant St
Harvard, IL 60033-1821 - Phone
- (815) 543-5431
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 43052 | WI | |
| Anesthesiology Physician | 207L00000X | 36-104916 | IL | Primary |
Addresses
Primary practice location
901 Grant St
Harvard, IL 60033-1821
Mailing address
901 Grant St
Harvard, IL 60033-1821
Phone (815) 543-5431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104916 2 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36-104916 | IL | MD | Anesthesiology Physician |
| 43052 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Advanced Ambulatory Anesthesia SC | Anesthesiology | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Anesthesiology Physician
- Arlington Heights, IL
- NPI 1538243910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1487736724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600331821",
"telephone_number": "815-543-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 GRANT ST",
"city": "HARVARD",
"state": "IL",
"postal_code": "600331821",
"telephone_number": "815-543-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWIS",
"first_name": "EVELYN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "43052",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "36-104916",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036104916 2",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harvard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.