DANIEL PHALIN (NPI# 1356885479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356885479 |
| Entity Type | Individual |
| Full Name | DANIEL PHALIN |
| Practice Address |
5666 E. State St Rockford IL 60656 |
| Practice Telephone | 8152262000 |
| Mailing Telephone | 8152262000 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085.006018 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5666 E. STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 60656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093083768 | Renalyn Rico | Physical Therapist | Gem Staffing Inc, 5440 N. Cumberland, 101a, Chicago, IL 60656 | 2011-12-08 |
| 1467734582 | Ralph A Cardone | Pharmacist | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-14 |
| 1326293226 | Richard J Bret | Dentist | 7100 W. Higgins, Chicago, IL 60656 | 2008-11-20 |
| 1588813372 | Ozgul Kadriye Holmgren | Behavioral Analyst | 7634 W Balmoral Ave, Chicago, IL 60656 | 2008-09-16 |
| 1841342375 | Magdi Naguib Gayed | Dentist | 8441 West Lawrence Ave, Chicago, IL 60656 | 2007-01-17 |
| 1225105281 | Frank Capobianco | Internal Medicine | 7046 W Higgins, Chicago, IL 60656 | 2006-11-28 |
| 1730136276 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 4734 N Cumberland Ave, Chicago, IL 60656 | 2006-05-30 |
| 1336195726 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 7342 W Foster Ave, Chicago, IL 60656 | 2006-05-26 |
| 1508149865 | Walgreens | Point of Service | 7155 W. Foster Place, Chicago, IL 60656 | 2011-09-23 |
| 1962457341 | John Harry Fournier | Ophthalmology | 5201 N Harlem Ave, Chicago, IL 60656 | 2006-05-23 |
| Find all providers in zip 60656 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003307463 | Alexander Whitney | Physician Assistant | 1055 Featherstone Rd Ste C, Rockford, IL 61107-5904 | 2018-05-22 |
| 1295722411 | Kristin N. Rindt | Physician Assistant | 3535 N Bell School Rd, Rockford, IL 61114 | 2005-10-03 |
| 1033746573 | Erin Ashleigh Donahue | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2020-03-25 |
| 1932741717 | Jacob Dalton Boehm | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-10-12 |
| 1801369236 | Antasia M Kersch | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2019-01-08 |
| 1447729413 | Kelsey Michelle Jebb | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2018-11-19 |
| 1982118287 | Jeremy Brunner | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2017-11-22 |
| 1528444833 | Travis Ryan Guest | Physician Assistant | 8501 Meadow Crk, Rockford, MI 49341 | 2015-08-10 |
| 1104101823 | Douglas Alan Blazer | Physician Assistant | 3475 S Alpine Rd, Rockford, IL 61109-2604 | 2011-10-13 |
| 1922383769 | Jordan Vold | Physician Assistant | 1200 W State St, Rockford, IL 61102-2112 | 2011-10-12 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.