Cardwell, Daniel L

Cardwell, Daniel L is an individual health care provider with primary practice located at 12251 S 80Th Ave Ste 1520 , Palos Heights IL 60463-1290. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Cardwell, Daniel L can be contacted via phone (708) 923-4200.

Contact Information

Primary practice address
12251 S 80Th Ave Ste 1520 Palos Heights IL 60463-1290
Phone: (708) 923-4200
Fax: (708) 923-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110004653 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 085004797 Illinois

Profile Details

NPI number 1336425560
LBN Legal business name Cardwell, Daniel L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2011
Last updated May 7th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336425560 NPPES
Virginia MEDICAID 1336425560

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