ETHAN DENNIS DAHL

INGLESIDE, IL
NPI1194398776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: IL  060783107)
Enumeration Date2021-07-21
Last Update Date2021-07-21
Business Address
ETHAN DENNIS DAHL
306 WASHINGTON ST
INGLESIDE, IL 60041-8324
Phone number: 847-587-3312
Mailing Address
ETHAN DENNIS DAHL
306 WASHINGTON ST
INGLESIDE, IL 60041-8324
Phone number: 847-587-3312