Provider Demographics
NPI:1386916195
Name:BYRNE, DAWN ELISABETH (MSW)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ELISABETH
Last Name:BYRNE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:DAWN
Other - Middle Name:ELISABETH
Other - Last Name:GULER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4266 N STATE ROUTE 23
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:IL
Mailing Address - Zip Code:60531-9771
Mailing Address - Country:US
Mailing Address - Phone:630-742-2741
Mailing Address - Fax:
Practice Address - Street 1:803 N BRIDGE ST STE D
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-2156
Practice Address - Country:US
Practice Address - Phone:630-742-2741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-09
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1490234431041C0700X
IL149023443101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty