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Ethan Dennis Dahl
Basic Emergency Medical Technician in Ingleside, Illinois
NPI 1194398776

Ethan Dennis Dahl is a Basic Emergency Medical Technician based in Ingleside, IL. Ethan Dennis Dahl practices in Ingleside, IL. The NPI Number for Ethan Dennis Dahl is 1194398776 and holds a License No. 060783107 (Illinois).

The current practice location address for Ethan Dennis Dahl is 306 Washington St, Ingleside, IL and can be reached out via phone at 847-587-3312.

Location: 306 Washington St, Ingleside, IL, 60041-8324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194398776
Provider Name
Ethan Dennis Dahl
Credential
Provider Entity Type
Individual
Gender
Male
Address
306 Washington St, Ingleside, IL, 60041-8324
Phone Number
847-587-3312
Fax Number
Provider Enumeration Date
07/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
306 Washington St
City
Ingleside
State
Illinois
Zip
60041-8324
Phone Number
847-587-3312
Fax Number
person
Provider Business Mailing Address Details
Address
306 Washington St
City
Ingleside
State
Illinois
Zip
60041-8324
Phone Number
847-587-3312
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
060783107 (Illinois)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
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