ETHAN DENNIS DAHL NPI 1194398776

NPI Information

  • NPI: 1194398776
  • Provider Name: ETHAN DENNIS DAHL
  • Classification: Emergency Medical Technician, Basic - 146N00000X
  • Entity Type: Individual
  • Address: 306 WASHINGTON ST
    INGLESIDE, IL
    ZIP 60041
  • Phone: (847) 587-3312

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NPI Details

Ethan Dennis Dahl is an emergency medical technician basic in Ingleside, IL. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. Ethan Dennis Dahl NPI is 1194398776. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

306 WASHINGTON ST
INGLESIDE, IL
ZIP 60041-324
Phone: (847) 587-3312

The enumeration date for this NPI number is 7/21/2021 and was last updated on 7/21/2021.

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
1146N00000XEmergency Medical Technician, Basic060783107ILLINOISYes

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

NPI Synchronization or Removal

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