Greenwalt, Dakota John

Greenwalt, Dakota John is an sole proprietor health care provider with primary practice located at 2869 N Lincoln Ave , Chicago IL 60657-4201. He recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as his primary health care specialty. Greenwalt, Dakota John can be contacted via phone (773) 665-9950.

Contact Information

Primary practice address
2869 N Lincoln Ave Chicago IL 60657-4201
Phone: (773) 665-9950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1073226510
LBN Legal business name Greenwalt, Dakota John
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2022
Last updated Dec 29th, 2022 - about 3 years 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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