DANIEL L SYVERSON DPM NPI 1033381025

NPI Information

  • NPI: 1033381025
  • Provider Name: DANIEL L SYVERSON DPM
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 12360 DUNHAM DR
    ROSCOE, IL
    ZIP 61073
  • Phone: (815) 389-8088

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NPI Details

DANIEL L SYVERSON DPM is a durable medical equipment medical supplies in Roscoe, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DANIEL L SYVERSON DPM NPI is 1033381025. The provider is registered as an organization entity type.

The provider's business location address is:

12360 DUNHAM DR
ROSCOE, IL
ZIP 61073-096
Phone: (815) 389-8088

The provider's authorized official is Daniel L Syverson .
The authorized official title is Owner and has the following contact phone number (815) 389-8088.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 4/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies01600404ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10904580001MEDICARE NSC
2T38617MEDICARE UPIN
3016004040MEDICAIDILLINOIS
4758390MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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