CLYDE DAWSON M.D.
NPI 1174557086
Surgery in Joliet, IL

Active since July 10, 2006
2100 GLENWOOD AVE, JOLIET, IL 60435(815) 725-2121(815) 741-6303 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clyde Dawson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLYDE DAWSON M.D. (NPI 1174557086) is an individual surgery provider in Joliet, Illinois, licensed in Illinois (36-063983) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174557086
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCLYDE DAWSONCredential: M.D.
Location Address2100 GLENWOOD AVEJoliet, IL 60435-5487
Mailing Address1860 Paysphere CirChicago, IL 60674-0018 · (815) 725-2121
Fax(815) 741-6303
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 1, 2015
NPI 1174557086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 36-063983
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2100 GLENWOOD AVE, Joliet, IL 60435

Other Identifiers 4

Medicare PIN688000IL
Medicare UPINC39612
Medicare PINP03964IL
Medicaid36063983IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2100 GLENWOOD AVE
JOLIET, IL 60435
Nurse Practitioner
2100 GLENWOOD AVE
JOLIET, IL 60435
Family Medicine
2100 GLENWOOD AVE
JOLIET, IL 60435
Physical Therapist
2100 GLENWOOD AVE
JOLIET, IL 60435
Allergy & Immunology
2100 GLENWOOD AVE
JOLIET, IL 60435
Specialist
2100 GLENWOOD AVE
JOLIET, IL 60435
Physical Therapist
2100 GLENWOOD AVE
JOLIET, IL 60435
Preventive Medicine (Occupational Medicine)
2100 GLENWOOD AVE
JOLIET, IL 60435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Dawson's NPI number?

The NPI number for Clyde Dawson is 1174557086. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Clyde Dawson located?

Clyde Dawson practices at 2100 Glenwood Ave, Joliet, IL 60435. The listed phone number is (815) 725-2121.

What is Clyde Dawson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Clyde Dawson was last updated on October 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.