Individual
DAKOTA JOHN GREENWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2869 N LINCOLN AVE, CHICAGO, IL 60657-4201
(773) 665-9950
Mailing address
1621 N HONORE ST APT 3R, CHICAGO, IL 60622-1303
(952) 484-3644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070027339
IL
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
12/29/2022
Last updated
04/25/2025
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