Individual provider Active NPI

Dawn-Maria Alicia Warren, MD

  • Gynecology Physician
  • Chicago, IL
National Provider Identifier
1881924942
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
336.019878036.055199 Issued in IL
Practice address
3401 S Calumet Ave
Chicago, IL 60616-3935
Phone
(312) 326-0195
Fax
(312) 326-0195
NPI assigned
Jan 12, 2010
Last updated
Jan 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 336.019878 036.05519 IL
Gynecology Physician 207VG0400X 336.019878036.055199 IL Primary

Addresses

Primary practice location

3401 S Calumet Ave
Chicago, IL 60616-3935

Mailing address

3401 S Calumet Ave
Chicago, IL 60616-3935
Phone (312) 326-0195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
336.019878 036.05519ILMDSpecialist
336.019878036.055199ILMDGynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1881924942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 S CALUMET AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163935",
            "telephone_number": "312-326-0195",
            "fax_number": "312-326-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 S CALUMET AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163935",
            "telephone_number": "312-326-0195",
            "fax_number": "312-326-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DAWN-MARIA",
        "middle_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "336.019878 036.05519",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "336.019878036.055199",
            "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 Jan 12, 2010; 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.