Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194398776 Individual Practitioner Male Practitioner

Ethan Dennis Dahl

Emergency Medical Technician, Basic • Ingleside, IL

Professional Overview & Biography Verified Profile Summary

Ethan Dahl is a registered healthcare professional specializing in Emergency Medical Technician, Basic in Ingleside, IL. Practice services are available at 306 WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

306 Washington St

Ingleside, IL 600418324

Telephone 8475873312
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medical Technician, Basic in Ingleside, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Ingleside, IL (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-21
Emergency Medical Technician, Basic Primary Specialty

NUCC Taxonomy Code: 146N00000X

State License IL 060783107

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2021

Registered at 306 WASHINGTON ST, INGLESIDE, IL 600418324 (Tel: 8475873312)

📍
Updated Business Mailing Address July 21, 2021

Registered at 306 WASHINGTON ST, INGLESIDE, IL 600418324 (Tel: 8475873312)

👤
Provider Name / Credentials Updated July 21, 2021

Recorded as ETHAN DAHL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2021

Emergency Medical Technician, Basic (License #060783107 in IL)

🟢
Initial NPI Registration & Enumeration July 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194398776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2021
Last Update: July 21, 2021
Sole Proprietor: No

Mailing Address

306 Washington St

Ingleside, IL 600418324

Phone: 8475873312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.