SearchIllinoisBasic Emergency Medical Technician

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