Dale Steven Brink DPM, FACFAS

NPI 1093722365 - Podiatrist - 213E00000X

NPI Details
NPI 1093722365
Gender Male
Enumeration Date 08/01/2006
Last Updated 12/02/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
401 E 162ND ST STE 101
SOUTH HOLLAND IL, 60473-2237, US
Phone (708) 596-3757
Fax (708) 596-3779
Business Location
401 E 162ND ST STE 101
SOUTH HOLLAND IL, 60473-2237, US
Phone (708) 596-3757
Fax (708) 596-3779
Toxanomy
Taxonomy Code 213E00000X
License State Illinois
License Number 016-004747
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According to our database, Dr. Dale Steven Brink DPM, FACFAS NPI is 1093722365, taxonomy code is 213E00000X and license number is 016-004747, license state is located at Illinois. Dale Steven Brink DPM, FACFAS physically located at 401 E 162nd St Ste 101, South Holland IL, 60473-2237. NPI Number Dale Steven Brink DPM, FACFAS has the Individual type.

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1093722365 NPI number is provided on an as is basis without warranty of any kind. 1093722365 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Steven Brink DPM, FACFAS are for informational purposes only.