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Contact Information

ETHAN D DAHL
306 WASHINGTON ST
INGLESIDE, IL60041-8324
 Phone: 847-587-3312
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for ETHAN D DAHL · (Male)

NPI # 1194398776
Status Active
Credentials
Entity Individual
Enumeration date 07/21/2021
Last updated 07/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 060783107
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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