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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETHAN DENNIS DAHL

Active

ETHAN DENNIS DAHL is a Emergency Medical Technician, Basic healthcare provider located in INGLESIDE, Illinois. NPI 1194398776 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Basic · INGLESIDE, IL

Registration Details

NPI Number
1194398776
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2021 (5.081573956447 yrs)
Last Updated
Jul 21, 2021
License
060783107 (IL)

Practice Information

Address
306 WASHINGTON ST
INGLESIDE, IL, 600418324
Browse IL providers · Browse ZIP 60041
Phone
8475873312
Primary Specialty
Emergency Medical Technician, Basic
146N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.