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Individual

DR. KYRA ANNE DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
836 W. WELLINGTON AVE, SUITE 4800, CHICAGO, IL 60657
(773) 296-7465
(773) 296-7465
Mailing address
836 W. WELLINGTON AVE, SUITE 4800, CHICAGO, IL 60657-5147
(773) 296-7465
(773) 296-5570

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.1443275
IL
208600000X
Surgery Physician
Primary
34.011867
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0120293
OH
Enumeration date
04/27/2011
Last updated
03/07/2023
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