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Ethan Dahl
NPI 1194398776 · on the registry since 2021
Practice
- Address
- 306 Washington St
Ingleside, IL 60041 - Phone
- (847) 587-3312
- Organisation at this address
- Fox Lake Fire Protection District
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Basic Emergency Medical Technician
146N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois