Organization Active NPI

Dawn Beckman, M.D., S.C.

  • Allergy & Immunology Physician
  • Bloomingdale, IL
National Provider Identifier
1851525810
Registry record updated Jun 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
036-096750 Issued in IL
Legal business name
DAWN BECKMAN, M.D., S.C.
Practice address
1 Tiffany PT
Suite G14
Bloomingdale, IL 60108-2936
Phone
(630) 307-0663
Fax
(630) 307-0671
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2009

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

Authorized official

Name
Dr. Dawn Beckman, M.D.
Title
M.D./President
Phone
(630) 307-0663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 036-096750 IL Primary

Addresses

Primary practice location

1 Tiffany PT
Suite G14
Bloomingdale, IL 60108-2936

Mailing address

1 Tiffany PT
Suite G14
Bloomingdale, IL 60108-2936
Phone (630) 307-0663

Other identifiers 1

IdentifierTypeStateIssuer
1851379200OtherILINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1 Tiffany Pt
Ste G14
Bloomingdale, IL 60108
Phone (630) 307-0663

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244937600000",
    "number": "1851525810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "SUITE G14",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-307-0663",
            "fax_number": "630-307-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "SUITE G14",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-307-0663",
            "fax_number": "630-307-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN BECKMAN, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-06-14",
        "status": "A",
        "authorized_official_last_name": "BECKMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "630-307-0663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036-096750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1851379200",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2009; 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.