Provider Demographics
NPI:1699929588
Name:RING, DAWN MARIE
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:RING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:CRETE
Mailing Address - State:IL
Mailing Address - Zip Code:60417-3201
Mailing Address - Country:US
Mailing Address - Phone:708-279-7236
Mailing Address - Fax:708-279-7236
Practice Address - Street 1:1581 AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417-3201
Practice Address - Country:US
Practice Address - Phone:708-279-7236
Practice Address - Fax:708-279-7236
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist