Individual
DAWSON MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
924 E 57TH ST # 104, CHICAGO, IL 60637-1455
(773) 702-1937
Mailing address
924 E 57TH ST # 104, CHICAGO, IL 60637-1455
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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