Basic Information
| Provider Information | |||||||||
| NPI: | 1235127853 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | WILLIAM L. DAWSON NURSING CENTER INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3500 S GILES AVE | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606531106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3123262000 | ||||||||
| FaxNumber: | 3123265753 | ||||||||
| Practice Location | |||||||||
| Address1: | 3500 S GILES AVE | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606531106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3123262000 | ||||||||
| FaxNumber: | 3123265753 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ORR | ||||||||
| AuthorizedOfficialFirstName: | PAMELA | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 3123262000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 0020404 | IL | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.